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Trevor Petersen
NPI 1588304810 · on the registry since 2022 · sole proprietor
Practice
- Address
- 607 S Harbor Blvd
Anaheim, CA 92805 - Phone
- (714) 679-8608
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-04-01
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