Individual
BRITTIANEE PETTAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28986 SUGAR ISLAND CT, GIBRALTAR, MI 48173-9578
(248) 929-4645
Mailing address
28986 SUGAR ISLAND CT, GIBRALTAR, MI 48173-9578
(248) 929-4645
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703122569
MI
Other
Enumeration date
05/19/2021
Last updated
04/08/2024
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