Individual
BRADFORD ARMANDE PETTAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 DOBY LN, SARALAND, AL 36571-2340
(251) 327-9946
(251) 675-1749
Mailing address
720 DOBY LN, SARALAND, AL 36571-2340
(251) 327-9946
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
AL
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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