Grace O Peterson

NPI #1063998177 in Worland, Wyoming

Provider Information

NPI Number: 1063998177
Entity Type: Individual
Name: Grace O Peterson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Jul 12, 2018
Last Updated: Jul 12, 2018

Practice Location

Address: 401 S 23RD ST
City: Worland
State: Wyoming
ZIP Code: 82401-3725
Phone: (307) 347-6165

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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