Individual
MS. KELSEY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
6046 CORNERSTONE CT W, SUITE 226, SAN DIEGO, CA 92121-4758
(951) 768-7869
Mailing address
6046 CORNERSTONE CT W, SUITE 226, SAN DIEGO, CA 92121-4758
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86020245
CA
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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