Mittie R Pettaway
NPI #1518486620 in Forestville, Maryland
Provider Information
- NPI Number
- 1518486620
- Entity Type
- Individual
- Name
- Mittie R Pettaway
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Sep 11, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 3014 LOGAN ST
- City
- Forestville
- State
- Maryland
- ZIP Code
- 20747-2727
- Phone
- (301) 789-4064
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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