Mr. Jerod Pettus
Mr. Jerod Pettus is a Student in an Organized Health Care Education/Training Program in Spotsylvania, Virginia. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
11403 Bluffs RdgSpotsylvania, VA 22551-8915
Phone: (972) 900-9665
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1356929129 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 31, 2021 |
| Last updated in NPPES | March 31, 2021 |
| Certification date | March 31, 2021 |
| Mailing address | 11403 Bluffs Rdg, Spotsylvania, VA 22551-8915 |
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