Individual
ANNA PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9055 BALBOA AVE, SAN DIEGO, CA 92123-1509
(619) 849-3331
Mailing address
6088 MARSHALL WAY, SAN LUIS OBISPO, CA 93401-8264
(805) 602-2529
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/01/2025
Last updated
09/01/2025
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