Individual
SHAY PETILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 WEST SANOQUE COURT, GILBERT, AZ 85298
(720) 503-5711
Mailing address
29472 N 68TH LN, PEORIA, AZ 85383
(602) 736-6408
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
2952
AZ
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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