Christina Marie Denise Petties
Driver in Houston, TX. Individual provider (NPI-1).
NPI number1801450010
StatusActive
Last updated in NPPESApr 24, 2019
Details
- NPI
- 1801450010
- Entity type
- Individual (NPI-1)
- Name
- Christina Marie Denise Petties
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 24, 2019
- Last updated
- Apr 24, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | 37185608 | TX | Yes |
Practice location
12730 Whittington Dr Apt 902Houston, TX 77077-4752
Phone 713-909-6192
Mailing address
12730 Whittington Dr Apt 902Houston, TX 77077-4752
Phone 713-909-6192
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