Individual
MICHELLE PETTITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
138 S. BROAD STREET, GLOBE, AZ 85501
(928) 425-3207
Mailing address
PO BOX 1776, CLAYPOOL, AZ 85532
(520) 904-8815
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
16-1574
AZ
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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