Individual
RONALD EUGENE PETTIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNS
Contact information
Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-8608
(740) 773-1141
Mailing address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-8608
(740) 773-1141
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
NS-04758
OH
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN 186354
OH
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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