DANIEL W PETERSON

JACKSON, TN
NPI1992190003
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: TN  60752)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-04-06
Last Update Date2021-04-16
Business Address
DANIEL W PETERSON
620 SKYLINE DR
JACKSON, TN 38301-3923
Phone number: 731-541-6026
Mailing Address
DANIEL W PETERSON
8900 SPRING GRV N
MOBILE, AL 36695-5327
Phone number: 251-604-2152