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MATTHEW PETERKIN SRNA

Individual Provider (NPI-1) Active

Nurse Anesthetist, Certified Registered

Provider Information

NPI Number
1124733555
Provider Type
Individual Provider (NPI-1)
Credentials
SRNA
Status
Active

Contact & Location

Address
2101 N WATERMAN AVE, SAN BERNARDINO, CA, 924044836
Phone
(909) 269-1947

Specialties & Taxonomies

Nurse Anesthetist, Certified Registered Primary License: CA #95002412
Registered Nurse, Critical Care Medicine License: MA #RN2351699

All Addresses

LOCATION

2101 N WATERMAN AVE

SAN BERNARDINO, CA, 924044836

(909) 269-1947

MAILING

55 QUEENSBERRY ST APT 4

BOSTON, MA, 022154805