Most Relevant Information
Provider Data
| NPI Number: | 1003199662 |
| Provider Name: | BETTY J PETTIFORD CNA |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/21/2011 |
| Last Updated: | 09/21/2011 |
Provider Practice Location
8 PYRUS CT
GREENSBORO
NC
274014073
Practice Location Phone/Fax
| Phone: | 3363143559 |
| Fax: |
Provider Mailing Location
8 PYRUS CT
GREENSBORO
NC
274014073
Provider Mailing Phone/Fax
| Phone: | 3363143359 |
| Fax: |