VIRGINIA LOLA PETTIGREW-WHEATON

VIENNA, OH
NPI1750511911
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2009-07-22
Last Update Date2009-07-22
Business Address
-- VIRGINIA LOLA PETTIGREW-WHEATON
3976 KING GRAVES RD 910TH MDS (AFRC)
VIENNA, OH 44473-6900
Phone number: 330-609-1233
Mailing Address
-- VIRGINIA LOLA PETTIGREW-WHEATON
3976 KING GRAVES RD 910TH MDS (AFRC)
VIENNA, OH 44473-6900
Phone number: 330-609-1233