Individual
JAYNE PETERS NORDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
4589 PRAIRIE TRL, PRESCOTT, AZ 86301-5840
(928) 778-2848
Mailing address
4589 PRAIRIE TRL, PRESCOTT, AZ 86301-5840
(928) 778-2848
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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