Individual
EMILY PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
114 IRONWEED DR, PUEBLO, CO 81001-1070
(405) 371-1695
Mailing address
114 IRONWEED DR, PUEBLO, CO 81001-1070
(405) 371-1695
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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