Wyletta Pettit Valid NPI
Individual provider · Peer Specialist · Wagoner, OK
- NPI
- 1851867014
- Type
- Individual (Type 1)
- Primary specialty
- Peer Specialist
- Specialty group
- Other Service Providers
- Taxonomy code
- 175T00000X
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2018-10-15
- Last updated
- 2018-10-15
Practice location
607 N Polk Ave
Wagoner, OK 74467-2713
(918) 304-4371