Individual
MAUREEN PETTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46 ROCHELLE DR, CHURCHVILLE, NY 14428-9765
(585) 329-5855
Mailing address
46 ROCHELLE DR, CHURCHVILLE, NY 14428-9765
(585) 329-5855
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
425455-1
NY
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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