Marian Marie Petla

NPI #1811264252 in Dillingham, Alaska

Provider Information

NPI Number
1811264252
Entity Type
Individual
Name
Marian Marie Petla
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician, Other
Enumeration Date
Nov 30, 2011
Last Updated
Nov 30, 2011

Practice Location

Address
6000 KANAKANAK RD.
State
Alaska
ZIP Code
99576-0130
Phone
(907) 842-5201

Specialties & Taxonomy Codes

Specialty
Technician, Other

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