Individual
LAURA MARIE PETTIBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50194 SCHOENHERR RD, SHELBY TWP, MI 48315-3136
(586) 991-6596
Mailing address
50194 SCHOENHERR RD, SHELBY TWP, MI 48315-3136
(586) 991-6596
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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