Individual
ANGELLETTA PETIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 LOYOLA AVE STE 106, NEW ORLEANS, LA 70113-1912
(504) 555-9595
(504) 558-9599
Mailing address
7201 RUNNYMEDE DR, MARRERO, LA 70072-4513
(504) 473-2598
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
08/30/2022
Last updated
11/03/2022
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