Individual
MRS. BRENDA KAY PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOM
Contact information
Practice address
9809 CANDELARIA RD NE, SUITE 2B, ALBUQUERQUE, NM 87112-1458
(505) 883-4831
(505) 237-8657
Mailing address
4816 GOODRICH AVE NE, ALBUQUERQUE, NM 87110-1139
(505) 883-4831
(505) 237-8657
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
857
NM
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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