Ebony Nicole Peterson
Ebony Nicole Peterson is a Student in an Organized Health Care Education/Training Program in Fairfield, California. Licensed in California. Registered with an NPI since 2025.
- Licensed in
- CA
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
2420 Martin Rd Ste 200Fairfield, CA 94534-8610
Phone: (707) 399-4520
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Specialties & licences
| Adult Companion (primary) | Taxonomy 372600000X (CA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1447138235 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 21, 2025 |
| Last updated in NPPES | July 10, 2026 |
| Certification date | July 10, 2026 |
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