Individual
DEMETRIA PETTAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1903 SPRING HILL AVE, MOBILE, AL 36607-2303
(251) 295-5110
(251) 545-4963
Mailing address
1903 SPRING HILL AVE, MOBILE, AL 36607-2303
(251) 295-5110
(251) 545-4963
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
—
—
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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