Individual
TOSHA PETTIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
457 HANNINGS LN, MARTIN, TN 38237-3307
(731) 587-3854
(731) 660-8739
Mailing address
1804 HIGHWAY 45 BYP, SUITE 604, JACKSON, TN 38305-4436
(731) 660-7971
(731) 660-8739
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
71200
TN
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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