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Amy Jean Petersen-fox
Specialist in Novato, California
NPI 1720794241

Amy Jean Petersen-fox is a Specialist based in Sebastopol, CA. Amy Jean Petersen-fox practices in Novato, CA. The NPI Number for Amy Jean Petersen-fox is 1720794241 and holds a License No. (California).

The current practice location address for Amy Jean Petersen-fox is 653 Canyon Rd, Novato, CA and can be reached out via phone at 415-892-1628.

Location: 653 Canyon Rd, Novato, CA, 95472-6315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720794241
Provider Name
Amy Jean Petersen-fox
Credential
Provider Entity Type
Individual
Gender
Female
Address
653 Canyon Rd, Novato, CA, 95472-6315
Phone Number
415-892-1628
Fax Number
Provider Enumeration Date
01/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
653 Canyon Rd
City
Novato
State
California
Zip
94947-4331
Phone Number
415-892-1628
Fax Number
person
Provider Business Mailing Address Details
Address
653 Canyon Rd
City
Novato
State
California
Zip
94947-4331
Phone Number
415-892-1628
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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