TOD C PETERSON

LONGVIEW, WA
NPI1841765864
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA  AP60877646)
Enumeration Date2018-10-05
Last Update Date2018-10-05
Business Address
TOD C PETERSON
600 BROADWAY ST
LONGVIEW, WA 98632-3256
Phone number: 360-414-2236
Mailing Address
TOD C PETERSON
600 BROADWAY ST
LONGVIEW, WA 98632-3256
Phone number:
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