KATRINA LAREA PETTERSEN

SAN JOSE, CA
NPI1104632991
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TS0200X Psychologist, School
(Licence: CA  4489)
Enumeration Date2024-12-05
Last Update Date2024-12-19
Business Address
KATRINA LAREA PETTERSEN LEP 4489
1261 LINCOLN AVE STE 104
SAN JOSE, CA 95125-3030
Phone number: 408-439-1111
Mailing Address
KATRINA LAREA PETTERSEN LEP 4489
2893 UNION AVE
SAN JOSE, CA 95124-1435
Phone number: 760-902-8990