Jamie D Peterson, ST
Jamie D Peterson, ST is a Surgical Technologist in Normal, Illinois. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
1604 Visa Dr Ste 2Normal, IL 61761-2195
Phone: (309) 846-4716
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Technologist (primary) | Taxonomy 246ZS0410X |
|---|
Record details
| NPI number | 1407107931 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | ST |
| Sole proprietor | Yes |
| NPI enumerated | September 24, 2012 |
| Last updated in NPPES | September 24, 2012 |
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