Individual
KRYSTAL PETTENGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 S SAGINAW ST, FLINT, MI 48507-2676
(810) 893-6489
Mailing address
4500 S SAGINAW ST, FLINT, MI 48507-2676
(810) 893-6489
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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