SearchMissouri1041C0700X

Stephanie Petersen

NPI 1639705676 · on the registry since 2020 · sole proprietor

Practice

Address
5723 Bridlespur Ln
Jefferson City, MO 65109
Phone
(248) 761-5359

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Sex
Female
Record last updated
2021-11-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri