Individual
QUANESHA PETTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
667 25TH AVE S UNIT A, SAINT PETERSBURG, FL 33705-3107
(727) 273-4123
Mailing address
667 25TH AVE S UNIT A, SAINT PETERSBURG, FL 33705-3107
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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