Individual
CHRISTINA ANN PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4295 BROCKTON AVE, RIVERSIDE, CA 92501-3446
(951) 341-3786
Mailing address
5870 ARLINGTON AVE, RIVERSIDE, CA 92504-2037
(951) 683-6596
(951) 351-1554
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-FNCQTP
CA
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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