Individual
OLUSANMI PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6939 ALABAMA AVE UNIT 117, CANOGA PARK, CA 91303-2038
(818) 415-2824
Mailing address
PO BOX 307, CANOGA PARK, CA 91305-0307
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
727907
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
4083
CA
Other
Enumeration date
05/20/2011
Last updated
11/29/2021
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