Individual
ZANETTE PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3355 4TH AVE, SAN DIEGO, CA 92103-5703
(858) 761-4105
Mailing address
6352 SAGEBRUSH BEND WAY, SAN DIEGO, CA 92130-6838
(858) 761-4105
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
81-4387957
CA
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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