Individual
JENNIFER DELIA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
950 E FAIRWAY DR, ORANGE, CA 92866-3202
(714) 478-0361
Mailing address
950 E FAIRWAY DR, ORANGE, CA 92866-3202
(714) 478-0361
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
95100231
CA
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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