Hailey Rose Huckba Peterson
Student in an Organized Health Care Education/Training Program in Seattle, WA. Individual provider (NPI-1).
NPI number1265115232
StatusActive
Last updated in NPPESAug 8, 2023
Details
- NPI
- 1265115232
- Entity type
- Individual (NPI-1)
- Name
- Hailey Rose Huckba Peterson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 8, 2023
- Certification date
- Aug 8, 2023
- Last updated
- Aug 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | WA | Yes |
Practice location
1959 Ne Pacific StSeattle, WA 98195
Phone 206-543-0903
Mailing address
1959 Ne Pacific StSeattle, WA 98195
Phone 206-543-0903
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