Individual
MRS. SHARON L PETTEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
16785 BEAR VALLEY RD, SUITE 2, HESPERIA, CA 92345-0825
(760) 782-8884
(866) 496-0434
Mailing address
19435 SENECA RD, APPLE VALLEY, CA 92307-5450
(909) 645-1083
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
1614
CA
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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