Individual
THERESA ANN PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3387 BARRANCA PKWY, IRVINE, CA 92606-8272
(949) 936-7515
(949) 936-7539
Mailing address
3387 BARRANCA PKWY, IRVINE, CA 92606-8272
(949) 936-7515
(949) 936-7539
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
417246
CA
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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