Individual
AURORA KAY PETTETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4555 PRECISSI LN, STOCKTON, CA 95207-6239
(209) 477-4103
(209) 477-1065
Mailing address
1691 THE ALAMEDA, SAN JOSE, CA 95126-2203
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95169112
CA
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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