Individual
JALEELA PETTAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-4000
Mailing address
1679 PARK FOREST DR, TOLEDO, OH 43614-3361
(419) 973-4170
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0032388
OH
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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