Individual
NATASHA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
84 E 150 N, AMERICAN FORK, UT 84003-1624
(435) 671-7722
Mailing address
84 E 150 N, AMERICAN FORK, UT 84003-1624
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/30/2017
Last updated
04/30/2017
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