Individual
SALISHA PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1253 PASEO AZUL WAY, CORONA, CA 92879-8503
(951) 710-0033
Mailing address
1253 PASEO AZUL WAY, CORONA, CA 92879-8503
(951) 710-0033
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
640665
CA
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
640665
CA
163WA2000X
Administrator Registered Nurse
Primary
640665
CA
163WM0705X
Medical-Surgical Registered Nurse
640665
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
640665
CA
163WP2201X
Ambulatory Care Registered Nurse
640665
CA
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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