Petersen, Leslie Ann

Petersen, Leslie Ann is an sole proprietor health care provider with primary practice located at 720 Wood St Humboldt County Mental Health, Eureka CA 95501-4413. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Petersen, Leslie Ann can be contacted via phone (707) 445-7710.

Contact Information

Primary practice address
720 Wood St Humboldt County Mental Health Eureka CA 95501-4413
Phone: (707) 445-7710
Fax: (707) 476-4061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 775420 California

Profile Details

NPI number 1003950312
LBN Legal business name Petersen, Leslie Ann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2007
Last updated Nov 15th, 2010 - about 14 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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