Individual
DR. CRYSTA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2300 E LOHMAN AVE, LAS CRUCES, NM 88001-8492
(575) 647-2506
Mailing address
2800 N ROADRUNNER PKWY APT 404, LAS CRUCES, NM 88011-0859
(575) 386-9756
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00009200
NM
Other
Enumeration date
09/28/2019
Last updated
09/28/2019
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