Individual
MISS MERLINE PETIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
47878 HIGHWAY 58, UNIT # 17, OAKRIDGE, OR 97463-9572
(561) 633-5360
Mailing address
47878 HWY 58, UNIT # 17, OAKRIDGE, OR 97463
(561) 633-5360
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201405586LPN
OR
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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