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Search › California › 124Q00000X

Jordan Petersen, RDH

NPI 1386295160 · on the registry since 2019

Practice

Address
1300 N Dutton Ave
Santa Rosa, CA 95401
Phone
(707) 303-3395
Organisation at this address
Marin Apothecaries
Santa Rosa Community Health Centers
Inferred from a shared address, not stated in the registry.
Clinicians at this address
35

Registry record

Primary taxonomy
124Q00000X
124Q00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-02-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California