MALIK PETERSON

IDAHO FALLS, ID
NPI1871396119
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-03-31
Last Update Date2026-03-21
Business Address
MALIK PETERSON
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 208-227-2850
Mailing Address
MALIK PETERSON
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 208-970-1123
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