Individual
EKATERINA NIKOLAEVNA PETROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1510 FLORIDA AVE, MODESTO, CA 95350-4437
(209) 549-7090
(209) 549-7099
Mailing address
737 W CHILDS AVE, MERCED, CA 95341-6805
(209) 384-6493
(209) 383-1296
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
042-0011975
VT
208000000X
Pediatrics Physician
Primary
A127080
CA
Other
Enumeration date
05/17/2010
Last updated
03/09/2017
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