Individual
MS. DANIELLE R PETTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
12811 BRACKLAND AVE, APT 6, CLEVELAND, OH 44108
(216) 645-2819
Mailing address
12811 BRACKLAND AVE, APT 6, CLEVELAND, OH 44108
(216) 645-2819
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
OH
Other
Enumeration date
12/26/2014
Last updated
12/26/2014
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