Johnnie Petronella JR.

NPI #1285939983 in Hartville, Ohio

Provider Information

NPI Number: 1285939983
Entity Type: Individual
Name: Johnnie Petronella JR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health Aide
Enumeration Date: Jan 11, 2011
Last Updated: Jan 11, 2011

Practice Location

Address: 13126 MARKET AVE N
City: Hartville
State: Ohio
ZIP Code: 44632-9065
Phone: (262) 822-2530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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