Individual
JENNIFER PETTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1847 BELMAR CT, FOLSOM, CA 95630-6142
(916) 801-7475
Mailing address
1847 BELMAR CT, FOLSOM, CA 95630-6142
(916) 801-7475
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
CA
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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