Individual
MRS. CHERYL ANN PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, RSST, QIDP
Contact information
Practice address
2140 E. ELLSWORTH RD., ANN ARBOR, MI 48108
(734) 222-3592
(734) 222-3461
Mailing address
555 TOWNER, P.O BOX 915, YPSILANTI, MI 48198-5752
(734) 544-3000
(734) 544-6732
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
6803085519
MI
Other
Enumeration date
10/10/2013
Last updated
06/16/2014
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