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Individual

MR. MICHAEL PETERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
31542 COAST HWY STE 3, LAGUNA BEACH, CA 92651-6987
(702) 203-7301
Mailing address
601 S 10TH ST # 201A, LAS VEGAS, NV 89101-7027
(702) 203-7301

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
11/18/2021
Last updated
11/18/2021
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