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
ZIP Code
20747-2727
Phone
(301) 789-4064

Specialties & Taxonomy Codes

Specialty
Technician - Personal Care AttendantPersonal Care Attendant

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