Individual
ELISABETH MARY PETTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2185 PACHECO ST, CONCORD, CA 94520-2309
(925) 676-0505
(925) 676-2814
Mailing address
2185 PACHECO ST, CONCORD, CA 94520-2309
(925) 676-0505
(925) 676-2814
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
483601
CA
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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