SearchCalifornia2471V0105X

Brent Petty, RVT, RDMS

NPI 1992449680 · on the registry since 2022 · sole proprietor

Practice

Address
530 E Queen St
Inglewood, CA 90301
Phone
(310) 946-3707

Registry record

Primary taxonomy
2471V0105X
2471V0105X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-04-27

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