MIKE PETERSON

BREMERTON, WA
NPI1760914956
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: WA  CG 60144492)
Enumeration Date2017-03-28
Last Update Date2017-03-28
Business Address
-- MIKE PETERSON
5455 ALMIRA DR NE
BREMERTON, WA 98311-8330
Phone number: 360-373-5031
Mailing Address
-- MIKE PETERSON
5455 ALMIRA DR NE
BREMERTON, WA 98311-8330
Phone number: