Individual
JOANNA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN IBCLC
Contact information
Practice address
23020 ASH GLEN CIR, VALENCIA, CA 91354-2001
(661) 495-7768
Mailing address
4200 W LAREDO ST, BROKEN ARROW, OK 74012-7576
(661) 495-7768
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
R0092541
OK
Other
Enumeration date
12/05/2022
Last updated
06/26/2025
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