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Individual

MS. CHRISTI L PETERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
900 GREENLEY RD, STE 922, SONORA, CA 95370-5287
(209) 536-3738
(209) 533-9608
Mailing address
18127 APPLE COLONY RD, TUOLUMNE, CA 95379-9626
(209) 928-3010

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN265299
CA
363L00000X
Nurse Practitioner
Primary
NP7349
CA

Other

Enumeration date
08/16/2005
Last updated
01/10/2008
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