Individual
MRS. PAULA J PETTIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1513 ERISWELL DR, ROSEVILLE, CA 95747-4522
(916) 749-9858
(916) 772-0500
Mailing address
1513 ERISWELL DR, ROSEVILLE, CA 95747-4522
(916) 749-9858
(916) 772-0500
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
244891
CA
Other
Enumeration date
12/22/2010
Last updated
12/22/2010
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