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Individual

DANIEL S PETERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CATC

Contact information

Practice address
1350 ARNOLD DR STE 102, MARTINEZ, CA 94553-4190
(925) 313-9562
Mailing address
1340 ARNOLD DR STE 110, MARTINEZ, CA 94553-4189
(925) 313-9562

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
06/26/2015
Last updated
05/08/2025
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