Individual
MRS. CARMEN M PETRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1211 W LA PALMA AVE, STE 502, ANAHEIM, CA 92801-2815
(714) 776-7090
(714) 776-5632
Mailing address
1211 W LA PALMA AVE, STE 502, ANAHEIM, CA 92801-2815
(714) 776-7090
(714) 776-5632
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA14772
CA
Other
Enumeration date
06/23/2005
Last updated
04/21/2011
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