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Individual

REGINA LYNN PETERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
477 N EL CAMINO REAL, ENCINITAS, CA 92024-1328
(800) 727-4777
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-7439

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA16911
CA

Other

Enumeration date
01/29/2009
Last updated
11/24/2025
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