Individual
MARIA ANN PETTERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3815 MARCONI AVE, SACRAMENTO, CA 95821-3867
(916) 890-3000
Mailing address
3815 MARCONI AVE, SACRAMENTO, CA 95821-3867
(916) 890-3000
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-PTDELJ
CA
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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