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Petra Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Indio, California
NPI 1710439187

Petra Dialysis Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, CA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Petra Dialysis Llc practices in Indio, CA. The NPI Number for Petra Dialysis Llc is 1710439187 and holds a License No. (California).

The current practice location address for Petra Dialysis Llc is 82900 Avenue 42, Indio, CA and can be reached out via phone at 760-342-6842 and via fax at 760-342-6807.

Location: 82900 Avenue 42, Indio, CA, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710439187
Provider Name
Petra Dialysis Llc
Credential
Provider Entity Type
Organization
Address
82900 Avenue 42, Indio, CA, 37027-7569
Phone Number
760-342-6842
Fax Number
760-342-6807
Provider Enumeration Date
11/01/2016
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1710439187 05 CA
institution
Provider Business Practice Location Address Details
Address
82900 Avenue 42
City
Indio
State
California
Zip
92203-9658
Phone Number
760-342-6842
Fax Number
760-342-6807
person
Provider Business Mailing Address Details
Address
82900 Avenue 42
City
Indio
State
California
Zip
92203-9658
Phone Number
760-342-6842
Fax Number
760-342-6807
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
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Definition
Definition to come...
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