Individual
BRENT ERIC PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RVT, RDMS
Contact information
Practice address
530 E QUEEN ST, INGLEWOOD, CA 90301-1929
(310) 946-3707
Mailing address
530 E QUEEN ST, INGLEWOOD, CA 90301-1929
(310) 946-3707
Taxonomy
Speciality
Code
Description
License number
State
2471V0105X
Vascular Sonography Radiologic Technologist
Primary
146300
TX
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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