Individual
JONATHAN CARMEN PANETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 W 8TH AVE, SPOKANE, WA 99204-2302
(905) 992-1888
Mailing address
327 HILLCREST AVE, ERIE, PA 16509-1512
(814) 323-5732
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60909970
WA
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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