Individual
MR. SALVATORE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
103 BODIN CIR, FAIRFIELD, CA 94535-1801
(707) 437-1802
Mailing address
103 BODIN CIR, FAIRFIELD, CA 94535-1801
(707) 437-1802
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
545718
CA
Other
Enumeration date
06/03/2017
Last updated
07/21/2022
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