Individual
JOHNNIE MAE PETTIFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
592 ELMA ST, AKRON, OH 44310-3208
(330) 388-8425
Mailing address
592 ELMA ST, AKRON, OH 44310-3208
(330) 388-8425
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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