Individual
VALERIE L PETTUS-SIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9612 RAYTOWN RD, KANSAS CITY, MO 64134-2237
(816) 763-4227
(816) 763-4227
Mailing address
9612 RAYTOWN RD, KANSAS CITY, MO 64134-2237
(816) 763-4227
(816) 763-4227
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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