Individual
KRISTEN M PETRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
NMCSD 34800 BOB WILSON DR, SAN DIEGO, CA 92134-0001
(619) 532-6400
Mailing address
30475 SINGER LN, MENIFEE, CA 92584-5616
(904) 485-0885
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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