Individual
CORINNE PETTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
768 UNIVERSITY AVE, SACRAMENTO, CA 95825-6703
(916) 844-4913
Mailing address
768 UNIVERSITY AVE, SACRAMENTO, CA 95825-6703
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/08/2019
Last updated
09/27/2021
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