Individual
ANDREA PETTAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 S MAIN ST STE C, YERINGTON, NV 89447-2474
(077) 546-3659
Mailing address
720 S MAIN ST STE C, YERINGTON, NV 89447-2474
(775) 463-6597
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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