LESLIE PETERSEN

CAMARILLO, CA
NPI1992125082
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: CA  21870)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: CA  NP21870)
Enumeration Date2014-04-16
Last Update Date2023-08-09
Business Address
LESLIE PETERSEN N.P.
268 VILLAGE COMMONS BLVD UNIT 19
CAMARILLO, CA 93012-6828
Phone number: 423-313-8812
Mailing Address
LESLIE PETERSEN N.P.
268 VILLAGE COMMONS BLVD UNIT 19
CAMARILLO, CA 93012-6828
Phone number: 423-313-8812