Individual
SARAH PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
5793 6TH AVE, FORT WORTH, TX 76134-1201
(832) 334-1788
Mailing address
5793 6TH AVE, FORT WORTH, TX 76134-1201
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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