Individual
MS. ANNELIESE MENDENHALL PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
2120 PACIFIC AVE SE, OLYMPIA, WA 98506-4753
(360) 459-7222
(360) 459-7223
Mailing address
2120 PACIFIC AVE SE, OLYMPIA, WA 98506-4753
(360) 459-7222
(360) 459-7223
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW61242008
WA
Other
Enumeration date
01/24/2022
Last updated
01/08/2024
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