Desirae Pettit
NPI #1124649157 in Terryville, Connecticut
Provider Information
- NPI Number
- 1124649157
- Entity Type
- Individual
- Name
- Desirae Pettit
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse's Aide
- Enumeration Date
- Apr 30, 2020
- Last Updated
- Apr 30, 2020
Practice Location
- Address
- 33 BEACH AVE
- City
- Terryville
- State
- Connecticut
- ZIP Code
- 06786-6317
- Phone
- (203) 592-4593
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse's Aide |
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