Individual
FELICIA L PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29177 CRESTLINE DR, MENIFEE, CA 92584-2602
(951) 377-9292
Mailing address
29177 CRESTLINE DR, MENIFEE, CA 92584-2602
(951) 377-9292
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
A3406670
CA
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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