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Darla Peterson, CP60471341

NPI 1821540667 · on the registry since 2016 · sole proprietor

Practice

Address
312 W 2nd St
Wapato, WA 98951
Phone
(509) 877-7271
Organisation at this address
The Valley Alcohol Council
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101YA0400X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-10-24

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 Washington