MARVIN PETTIFORD

BAKERSFIELD, CA
NPI1699810176
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA15900)
Enumeration Date2007-02-21
Last Update Date2007-07-08
Business Address
-- MARVIN PETTIFORD
815 DR MARTIN LUTHER KING JR BLVD
BAKERSFIELD, CA 93307-1365
Phone number: 661-322-3905
Mailing Address
-- MARVIN PETTIFORD
PO BOX 1559 ATTN: ANN LEE CLINICA SIERRA VISTA
BAKERSFIELD, CA 93302-1559
Phone number: 661-635-3050
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