Marc Petersen
Marc Petersen is a Student in an Organized Health Care Education/Training Program in Fullerton, California. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
2025 Ravenhill CtFullerton, CA 92831-1327
Phone: (801) 245-9553
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1801699889 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 27, 2025 |
| Last updated in NPPES | March 27, 2025 |
| Certification date | March 27, 2025 |
| Mailing address | 2025 Ravenhill Ct, Fullerton, CA 92831-1327 |
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