person
Regina Lynn Petersen, PA-C
Medical Physician Assistant in Vista, California
NPI 1770721714

Regina Lynn Petersen is a Medical Physician Assistant based in Vista, CA and is specialized in Medical. Regina Lynn Petersen practices in Vista, CA and has the professional credentials of PA-C. The NPI Number for Regina Lynn Petersen is 1770721714 and holds a License No. PA16911 (California).

The current practice location address for Regina Lynn Petersen is 145 Thunder Dr, Vista, CA and can be reached out via phone at 760-630-5487 and via fax at 760-630-2558.

Location: 145 Thunder Dr, Vista, CA, 92083-6010
person
Provider Profile Details
NPI Number
1770721714
Provider Name
Regina Lynn Petersen
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
145 Thunder Dr, Vista, CA, 92083-6010
Phone Number
760-630-5487
Fax Number
760-630-2558
Provider Enumeration Date
01/29/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
145 Thunder Dr
City
State
Zip
92083-6010
Phone Number
760-630-5487
Fax Number
760-630-2558
person
Provider Business Mailing Address Details
Address
145 Thunder Dr
City
State
Zip
92083-6010
Phone Number
760-630-5487
Fax Number
760-630-2558
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA16911 (California)
Definition
Definition to come...
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