EBONY NICOLE PETERSON

FAIRFIELD, CA
NPI1447138235
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy372600000X Adult Companion
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-08-21
Last Update Date2026-07-10
Business Address
EBONY NICOLE PETERSON
2420 MARTIN RD STE 200
FAIRFIELD, CA 94534-8610
Phone number: 707-399-4520
Mailing Address
EBONY NICOLE PETERSON
2460 CLAY BANK RD BLDG 8
FAIRFIELD, CA 94533-1655
Phone number: 707-399-4400