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Tara Jean Peterson
Student in an Organized Health Care Education/Training Program in Fullerton, California
NPI 1598354128

Tara Jean Peterson is a Student in an Organized Health Care Education/Training Program based in Fullerton, CA. Tara Jean Peterson practices in Fullerton, CA. The NPI Number for Tara Jean Peterson is 1598354128 and holds a License No. (California).

The current practice location address for Tara Jean Peterson is 801 E Chapman Ave, Fullerton, CA and can be reached out via phone at 714-680-9000.

Location: 801 E Chapman Ave, Fullerton, CA, 92836-0919
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598354128
Provider Name
Tara Jean Peterson
Credential
Provider Entity Type
Individual
Gender
Female
Address
801 E Chapman Ave, Fullerton, CA, 92836-0919
Phone Number
714-680-9000
Fax Number
Provider Enumeration Date
01/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
801 E Chapman Ave
City
Fullerton
State
California
Zip
92831-3839
Phone Number
714-680-9000
Fax Number
person
Provider Business Mailing Address Details
Address
801 E Chapman Ave
City
Fullerton
State
California
Zip
92831-3839
Phone Number
714-680-9000
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.
()
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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