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Mittie Pettaway

NPI 1518486620 · on the registry since 2017

Practice

Address
3014 Logan St
Forestville, MD 20747
Phone
(301) 789-4064

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Sex
Female
Record last updated
2022-07-21

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 Maryland