Individual
MARK JOSEPH PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RCP
Contact information
Practice address
1777 W YOSEMITE AVE, MANTECA, CA 95337-5187
(209) 825-3700
Mailing address
1617 E ORANGEBURG AVE, MODESTO, CA 95355-3236
(209) 613-6591
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
21073
CA
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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