MADELYNE HALLE WILMA PETERSON

PASCO, WA
NPI1366956641
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2017-11-25
Last Update Date2020-07-16
Business Address
Mrs. MADELYNE HALLE WILMA PETERSON ATC
5910 NAUVOO LN
PASCO, WA 99301-6907
Phone number: 206-948-6745
Mailing Address
Mrs. MADELYNE HALLE WILMA PETERSON ATC
1313 SHERWOOD ST
MISSOULA, MT 59802-2301
Phone number: