Individual
MS. DIANE PEARL PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5260
(704) 853-5252
Mailing address
5480 PRENTISS LN, IRON STATION, NC 28080-9267
(704) 735-4823
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
CNM 103
NC
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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