Theodora Rae Peterson

NPI 1265718092 - Registered Nurse - 163W00000X

NPI Details
NPI 1265718092
Gender Female
Enumeration Date 10/25/2011
Last Updated 10/25/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
2209 E 32ND ST
TACOMA WA, 98404-4922, US
Phone (253) 593-0232
Fax
Business Location
2209 E 32ND ST
TACOMA WA, 98404-4922, US
Phone (253) 593-0232
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Washington
License Number RN00074552
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According to our database, Ms. Theodora Rae Peterson NPI is 1265718092, taxonomy code is 163W00000X and license number is RN00074552, license state is located at Washington. Theodora Rae Peterson physically located at 2209 E 32nd St, Tacoma WA, 98404-4922. NPI Number Theodora Rae Peterson has the Individual type.

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1265718092 NPI number is provided on an as is basis without warranty of any kind. 1265718092 is maintained by the National Plan & Provider Enumeration System. The contents of Theodora Rae Peterson are for informational purposes only.