Individual
DIANE KATHRYN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
23970 JACARANDA DR, TEHACHAPI, CA 93561-8320
(661) 821-3821
(661) 821-1217
Mailing address
23970 JACARANDA DR, TEHACHAPI, CA 93561-8320
(661) 821-3821
(661) 821-1217
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
9908
CA
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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