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Individual

DR. JOYCE PETERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
9465 WILSHIRE BLVD STE 300, BEVERLY HILLS, CA 90212-2624
(424) 324-9339
Mailing address
9818 WANDA PARK DR, BEVERLY HILLS, CA 90210-1431
(424) 324-9339

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
202362
AL
175F00000X
Naturopath
202362
AL
207N00000X
Dermatology Physician
202362
AL
207Q00000X
Family Medicine Physician
202362
AL
225700000X
Massage Therapist
1147
AL
225700000X
Massage Therapist
52070
CA
261QG0250X
Genetics Clinic/Center
202362
AL
261QM1300X
Multi-Specialty Clinic/Center
Primary
202362
AL
261QR1100X
Research Clinic/Center
202362
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1147
ALABAMA BOARD OF PHYSICAL MASSAGE THERAPY
AL
01
202362
ALABAMA STATE
AL
01
4978927
STATE LICENSE NUMBER
AL
01
52070
CALIFORNIA THERAPY BOARD
CA
Enumeration date
06/15/2020
Last updated
06/15/2020
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