Individual
MRS. JENNIFER DAWN FAVORS PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3920 HATCH RD, MERCED, CA 95340-8699
(209) 777-5897
Mailing address
3920 HATCH RD, MERCED, CA 95340-8699
(209) 777-5897
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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