DAVONTE PETERSON

JUNEAU, AK
NPI1548848591
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2021-03-31
Last Update Date2022-05-31
Business Address
DAVONTE PETERSON
2075 JORDAN AVE
JUNEAU, AK 99801-8095
Phone number: 907-854-7610
Mailing Address
DAVONTE PETERSON
2075 JORDAN AVE
JUNEAU, AK 99801-8095
Phone number: