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Shannon Peterka
Student in an Organized Health Care Education/Training Program in Rancho Palos Verdes, California
NPI 1033644620

Shannon Peterka is a Student in an Organized Health Care Education/Training Program based in Rancho Palos Verdes, CA. Shannon Peterka practices in Rancho Palos Verdes, CA. The NPI Number for Shannon Peterka is 1033644620 and holds a License No. 11796 (California).

The current practice location address for Shannon Peterka is 7028 Hartcrest Dr, Rancho Palos Verdes, CA and can be reached out via phone at 310-625-7729.

Location: 7028 Hartcrest Dr, Rancho Palos Verdes, CA, 90275-2936
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033644620
Provider Name
Shannon Peterka
Credential
Provider Entity Type
Individual
Gender
Female
Address
7028 Hartcrest Dr, Rancho Palos Verdes, CA, 90275-2936
Phone Number
310-625-7729
Fax Number
Provider Enumeration Date
04/21/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7028 Hartcrest Dr
City
Rancho Palos Verdes
State
California
Zip
90275-2936
Phone Number
310-625-7729
Fax Number
person
Provider Business Mailing Address Details
Address
7028 Hartcrest Dr
City
Rancho Palos Verdes
State
California
Zip
90275-2936
Phone Number
310-625-7729
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
11796 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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