VIKTORYIA PETRUSEVICH

SALT LAKE CITY, UT
NPI1821584012
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: UT  14219578-4402)
Additional Taxonomies176B00000X Midwife
176B00000X Midwife
(Licence: UT  14219578-4402)
Enumeration Date2018-07-10
Last Update Date2025-12-11
Business Address
VIKTORYIA PETRUSEVICH CNM
370 E 9TH AVE STE 101
SALT LAKE CITY, UT 84103-3186
Phone number: 801-507-7070
Mailing Address
VIKTORYIA PETRUSEVICH CNM
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: