Individual
JEFFREY MICHAEL PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15534 CALABRIA CT, BAKERSFIELD, CA 93314-8055
(661) 703-3587
Mailing address
15534 CALABRIA CT, BAKERSFIELD, CA 93314-8055
(661) 703-3587
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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