Laura Marie Pettibone
NPI #1235844069 in Shelby Twp, Michigan
Provider Information
- NPI Number
- 1235844069
- Entity Type
- Individual
- Name
- Laura Marie Pettibone
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician/Technologist
- Enumeration Date
- Jan 17, 2023
- Last Updated
- Jan 17, 2023
Practice Location
- Address
- 50194 SCHOENHERR RD
- City
- Shelby Twp
- State
- Michigan
- ZIP Code
- 48315-3136
- Phone
- (586) 991-6596
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist |
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