Individual
AVERY LORINE PETHTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 EDDY ST, NEWARK, OH 43055-5111
(740) 258-9553
Mailing address
315 EDDY ST, NEWARK, OH 43055-5111
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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