Tara Mae Peterson is a student in an organized health care education training program in Gold Canyon, AZ. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Tara Mae Peterson NPI is 1104474634. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
9182 E MOGOLLON TRL
GOLD CANYON, AZ
ZIP 85118-090
Phone: (760) 977-6305
The enumeration date for this NPI number is 8/28/2019 and was last updated on 8/28/2019.