Michael Jacob Petersen
NPI #1386352219 in West Valley, Utah
Provider Information
- NPI Number
- 1386352219
- Entity Type
- Individual
- Name
- Michael Jacob Petersen
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Nov 9, 2022
- Last Updated
- Nov 9, 2022
Practice Location
- Address
- 3280 W 3500 S STE B
- City
- West Valley
- State
- Utah
- ZIP Code
- 84119-2627
- Phone
- (801) 979-1351
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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