Individual
MISS CARMEN PETTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4945 E 81ST ST, GARFIELD HEIGHTS, OH 44125-2017
(216) 322-9536
Mailing address
4945 E 81ST ST, GARFIELD HEIGHTS, OH 44125-2017
(216) 322-9536
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
OH
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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