Kertonnia Petty-Miliken
NPI #1134740004 in Florissant, Missouri
Provider Information
- NPI Number
- 1134740004
- Entity Type
- Individual
- Name
- Kertonnia Petty-Miliken
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- May 2, 2020
- Last Updated
- Sep 8, 2020
Practice Location
- Address
- 2570 MOCKINGBIRD LN
- City
- Florissant
- State
- Missouri
- ZIP Code
- 63031-3611
- Phone
- (314) 666-4041
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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