Individual
PATRICK PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7850 IMPERIAL HWY STE B, DOWNEY, CA 90242-3485
(562) 321-9013
Mailing address
17216 SATICOY ST # 141, VAN NUYS, CA 91406-2103
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6636
CA
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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