Individual
VIRGINIA LOLA PETTIGREW-WHEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3976 KING GRAVES RD, 910TH MDS (AFRC), VIENNA, OH 44473-6900
(330) 609-1233
Mailing address
3976 KING GRAVES RD, 910TH MDS (AFRC), VIENNA, OH 44473-6900
(330) 609-1233
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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