Individual
RICHARD JOSHUA PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 BROWN RD, DUBACH, LA 71235-3346
(318) 257-2956
Mailing address
211 BROWN RD, DUBACH, LA 71235-3346
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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