Individual
MR. LEMUEL PETTWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1709 LIBERTY ST N, CANTON, MI 48188-8002
(734) 353-6520
Mailing address
1709 LIBERTY ST N, CANTON, MI 48188-8002
(734) 353-6520
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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