Individual
CHERYL SUE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 S STATE ST, HEMET, CA 92543
(951) 929-1968
(951) 925-5172
Mailing address
PO BOX 3868, HEMET, CA 92546-3868
(951) 929-1968
(951) 925-5172
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN205888
CA
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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