AMBER RAE PETERSON

BLACK HAWK, SD
NPI1285045674
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: SD  P011318)
Enumeration Date2014-05-19
Last Update Date2014-05-19
Business Address
-- AMBER RAE PETERSON LPN
7404 TIMBERLINE CT
BLACK HAWK, SD 57718-9545
Phone number: 605-593-2682
Mailing Address
-- AMBER RAE PETERSON LPN
7404 TIMBERLINE CT
BLACK HAWK, SD 57718-9545
Phone number: 605-593-2682