Individual
DANIELLE ROSE PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 996-5078
Mailing address
6941 GROVE AVE, HIGHLAND, CA 92346-3387
(909) 856-9355
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OH
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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