Individual
DEBBIE ANN PETELLAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
316 NE 2ND ST LOT 11, CRYSTAL RIVER, FL 34429-4251
(352) 422-2547
(352) 563-5450
Mailing address
316 NE 2ND ST LOT 11, CRYSTAL RIVER, FL 34429-4251
(352) 422-2547
(352) 563-5450
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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