MRS. Tammy Faye Peterson
NPI #1669498390 in Petersburg, Virginia
Provider Information
- NPI Number
- 1669498390
- Entity Type
- Individual
- Name
- MRS. Tammy Faye Peterson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Jul 14, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3400 S CRATER RD
- Address 2
- STE.B
- City
- Petersburg
- State
- Virginia
- ZIP Code
- 23805-9211
- Phone
- (804) 733-6960
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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