KESHIA PETTUS

CHARLOTTE, NC
NPI1629229851
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NC  5004129)
Enumeration Date2008-10-07
Last Update Date2009-01-23
Business Address
-- KESHIA PETTUS
10515 MALLARD CREEK RD
CHARLOTTE, NC 28262-9785
Phone number: 704-547-9739
Mailing Address
-- KESHIA PETTUS
10515 MALLARD CREEK RD
CHARLOTTE, NC 28262-9785
Phone number:
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