Individual
MRS. GLORIA PETTIGREW-FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12432 A 36TH ST, C20, BELLEVUE, NE 68123
(402) 598-8363
(888) 743-1329
Mailing address
12432 A 36TH ST, C20, BELLEVUE, NE 68123
(402) 598-8363
(888) 743-1329
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
REGISTRY1037
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043812531
IN HOME PERSONAL SERVICES, CMA
NE
Enumeration date
03/13/2020
Last updated
03/24/2020
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