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Individual

JOYAH LANEY PETTUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11784 AL HIGHWAY 157, VINEMONT, AL 35179-9005
(256) 775-6085
(256) 736-5984
Mailing address
11784 AL HIGHWAY 157, VINEMONT, AL 35179-9005
(256) 775-6085
(256) 736-5984

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14365
AL

Other

Enumeration date
12/04/2020
Last updated
12/04/2020
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