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Nicole Peterson, BS

NPI 1366882938 · on the registry since 2013

Practice

Address
278 Marty Dr
Manteca, CA 95336
Phone
(510) 377-3455

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-06-27
Status
Not present in the most recent federal file

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 California