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Individual

PORSHA PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
9621 S VERMONT AVE, LOS ANGELES, CA 90044-3217
(323) 586-7333
Mailing address
9621 S VERMONT AVE, LOS ANGELES, CA 90044-3217
(323) 586-7333

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95017177
CA

Other

Enumeration date
04/27/2021
Last updated
07/12/2023
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