Individual
MRS. JEANETTE MARIE PETERMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1036 EAST HUNTINGTON DRIVE, DUARTE, CA 91010
(626) 462-2788
(626) 357-4324
Mailing address
1811 NEWCASTLE LANE, SAN DIMAS, CA 91773
(626) 974-1815
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
343598
CA
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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