NPI 1053620666
Holly Peterson
Practice location
- Address
- 1107 Park Rd, Jackson, MI 49203-5066
- Phone
- (517) 787-7907
Registered specialties
Homemaker
Primary
Registry record
- NPI
- 1053620666
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Sep 2010
- Record last updated
- 30 Sep 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.