CHRISTOPHER RUSSELL PETERSON

OCEANSIDE, CA
NPI1023504412
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2018-07-09
Last Update Date2018-07-09
Business Address
CHRISTOPHER RUSSELL PETERSON Idependent Duty Corp
909 ASH RD
OCEANSIDE, CA 92058-8664
Phone number: 818-404-4527
Mailing Address
CHRISTOPHER RUSSELL PETERSON Idependent Duty Corp
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968