Individual
TRUDI J PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1700 SHATTUCK AVE # 75, BERKELEY, CA 94709-3402
(510) 435-6185
Mailing address
1700 SHATTUCK AVE # 75, BERKELEY, CA 94709-3402
(510) 435-6185
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
432166
CA
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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