MICHAEL JAKE PETERSEN

SACRAMENTO, CA
NPI1780248146
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: CA  A191321)
Enumeration Date2019-04-30
Last Update Date2024-06-26
Business Address
MICHAEL JAKE PETERSEN
2516 STOCKTON BLVD
SACRAMENTO, CA 95817-2208
Phone number: 916-734-2105
Mailing Address
MICHAEL JAKE PETERSEN
2516 STOCKTON BLVD
SACRAMENTO, CA 95817-2208
Phone number:
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