Individual
DESIREE PETTWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2061 23RD ST, CUYAHOGA FALLS, OH 44223-1405
(216) 600-3090
Mailing address
2061 23RD ST, CUYAHOGA FALLS, OH 44223-1405
(216) 600-3090
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.180202.MEDS.IV
OH
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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