Individual
DANIKA NICOLE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5252 BALBOA AVE STE 502, SAN DIEGO, CA 92117-7015
(858) 740-7871
Mailing address
615 GRAVILLA PL, LA JOLLA, CA 92037-6131
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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