Tara Mae Peterson, PA-C
NPI #1104474634 in Baldwin Park, California
Provider Information
- NPI Number
- 1104474634
- Entity Type
- Individual
- Name
- Tara Mae Peterson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Obstetrics & Gynecology - Complex Family Planning
- Credential
- PA-C
- Enumeration Date
- Aug 28, 2019
- Last Updated
- Jun 23, 2023
Practice Location
- Address
- 4070 STERLING WAY
- City
- Baldwin Park
- State
- California
- ZIP Code
- 91706-4223
- Phone
- (626) 798-0706
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology - Complex Family Planning — Complex Family Planning |
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