Individual
ELIZABETH PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
597 CENTER AVE, MARTINEZ, CA 94553-4640
(925) 313-6250
Mailing address
2361 WALNUT BLVD, WALNUT CREEK, CA 94597-3256
(707) 337-0934
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
513209
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C6746416
DRIVERS LICENSE
CA
Enumeration date
05/11/2017
Last updated
05/11/2017
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