SearchCalifornia103K00000X

Michele Pettiford

NPI 1194570499 · on the registry since 2024

Practice

Address
13588 Montague St
Arleta, CA 91331
Phone
(310) 994-4356

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-04-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California