Samone Pettway
NPI #1144894478 in Waterbury, Connecticut
Provider Information
- NPI Number
- 1144894478
- Entity Type
- Individual
- Name
- Samone Pettway
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- May 20, 2021
- Last Updated
- May 20, 2021
Practice Location
- Address
- 855 LAKEWOOD RD
- City
- Waterbury
- State
- Connecticut
- ZIP Code
- 06704-5408
- Phone
- (860) 793-3500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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