Individual
AVA LEA PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 VIKING RD, CEDAR FALLS, IA 50613-9526
(319) 268-4800
Mailing address
9135 UNIVERSITY AVE APT 3, CEDAR FALLS, IA 50613-9107
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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