KENNETH A PETERSON

Eyewear Supplier

Active Organization
NPI: 1235371782

Practice Address

911 OAK PARK BLVD STE 104
Pismo Beach, CA 93449

Phone: (805) 473-9393

Specialties

Specialty Code Primary License
Eyewear Supplier 332H00000X Yes CA 9884T (CA)

Frequently Asked Questions

NPI 1235371782 is the National Provider Identifier for KENNETH A PETERSON, a Eyewear Supplier provider located in Pismo Beach, CA. This NPI was enumerated on March 30, 2009.

Quick Facts

NPI
1235371782
Type
Organization
Enumerated
Mar 30, 2009
Last Updated
Mar 30, 2009

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