ELIZA S. PETERSEN

DRIGGS, ID
NPI1083750996
Former NameELIZA SCHWAB
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy231H00000X Audiologist
(Licence: ID  AUD-1142)
Additional Taxonomies231H00000X Audiologist
(Licence: WY  A-974)
Enumeration Date2007-01-29
Last Update Date2023-04-19
Business Address
Dr. ELIZA S. PETERSEN AUD, CCCA
2740 SHADOWMOON LN STE 417
DRIGGS, ID 83422-5083
Phone number: 307-745-5587
Mailing Address
Dr. ELIZA S. PETERSEN AUD, CCCA
1388 MOUNT MORIAH RD
LIVERMORE, CO 80536-9311
Phone number: 307-745-5587
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