Petersen, Jessica Alicia

Petersen, Jessica Alicia is an sole proprietor health care provider with primary practice located at 303 E Vanderbilt Way , San Bernardino CA 92415-0026. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Petersen, Jessica Alicia can be contacted via phone (909) 388-0801.

Contact Information

Primary practice address
303 E Vanderbilt Way San Bernardino CA 92415-0026
Phone: (909) 388-0801
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 95035365 California

Profile Details

NPI number 1598420952
LBN Legal business name Petersen, Jessica Alicia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2021
Last updated Nov 1st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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