Tara Marcell Pettiford
Tara Marcell Pettiford is a Specialist in Baltimore, Maryland. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
3530 E Northern PkwyBaltimore, MD 21206-1632
Phone: (443) 858-7705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1356956593 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 14, 2020 |
| Last updated in NPPES | September 14, 2020 |
| Certification date | September 14, 2020 |
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