SearchCalifornia363AS0400X

Carl Petty

NPI 1366144941 · on the registry since 2023 · sole proprietor

Practice

Address
2962 Elm Tree Ct
Spring Valley, CA 91978
Phone
(619) 200-9105

Registry record

Primary taxonomy
363AS0400X
363AS0400X
Also registered as
246ZC0007X
Sex
Male
Record last updated
2023-03-20

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