Individual provider · Type 1 NPI

Marc Petersen

Student in an Organized Health Care Education/Training Program · Fullerton, CA

NPI number 1801699889 Active

Practice location

2025 Ravenhill Ct
Fullerton, CA 92831-1327

Call (801) 245-9553 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1801699889

Marc Petersen's National Provider Identifier is 1801699889, issued on Mar 27, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fullerton, CA. The record was last updated on Mar 27, 2025.