Individual
DR. KATHERINE PETTIBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2240 MERCURY WAY, SANTA ROSA, CA 95407-5413
(707) 570-3120
Mailing address
13380 CREST VALLEY DR, RENO, NV 89511-5916
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E5743
CA
Other
Enumeration date
06/11/2018
Last updated
04/06/2022
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