Individual
CORT D PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 N BROADWAY, ESCONDIDO, CA 92025-2713
(442) 777-7437
Mailing address
111 N BROADWAY, ESCONDIDO, CA 92025-2713
(442) 777-7437
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
374700309
CA
Other
Enumeration date
03/03/2023
Last updated
04/14/2023
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