ELLEN PETERSEN

VISTA, CA
NPI1689771354
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  NP8141)
Enumeration Date2006-09-17
Last Update Date2010-12-23
Business Address
-- ELLEN PETERSEN NP
1000 VALE TERRACE DR
VISTA, CA 92084-5218
Phone number: 760-631-5000
Mailing Address
-- ELLEN PETERSEN NP
1000 VALE TERRACE DR
VISTA, CA 92084-5218
Phone number: 760-631-5000