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Molly Dale Peterson-cross
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1861255200

Molly Dale Peterson-cross is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Molly Dale Peterson-cross practices in San Diego, CA. The NPI Number for Molly Dale Peterson-cross is 1861255200 and holds a License No. (California).

The current practice location address for Molly Dale Peterson-cross is 5473 Kearny Villa Rd Ste 300, San Diego, CA and can be reached out via phone at 619-500-8212.

Location: 5473 Kearny Villa Rd Ste 300, San Diego, CA, 92123-1142
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861255200
Provider Name
Molly Dale Peterson-cross
Credential
Provider Entity Type
Individual
Gender
Female
Address
5473 Kearny Villa Rd Ste 300, San Diego, CA, 92123-1142
Phone Number
619-500-8212
Fax Number
Provider Enumeration Date
01/30/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5473 Kearny Villa Rd Ste 300
City
San Diego
State
California
Zip
92123-1142
Phone Number
619-500-8212
Fax Number
person
Provider Business Mailing Address Details
Address
5473 Kearny Villa Rd Ste 300
City
San Diego
State
California
Zip
92123-1142
Phone Number
619-500-8212
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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