Individual
MATTHEW PETERKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SRNA
Contact information
Practice address
2101 N WATERMAN AVE, SAN BERNARDINO, CA 92404-4836
(909) 269-1947
Mailing address
55 QUEENSBERRY ST APT 4, BOSTON, MA 02215-4805
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN2351699
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
95002412
CA
Other
Enumeration date
01/19/2023
Last updated
08/14/2024
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