Individual
JENNIFER M. PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1180 MOUNTAIN VIEW LN, COLTON, CA 92324-4722
(909) 503-3873
Mailing address
1180 MOUNTAIN VIEW LN, COLTON, CA 92324-4722
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
95221871
CA
Other
Enumeration date
02/20/2026
Last updated
02/20/2026
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