Glenn Petillo
NPI #1770936635 in Anza, California
Provider Information
- NPI Number
- 1770936635
- Entity Type
- Individual
- Name
- Glenn Petillo
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse's Aide
- Enumeration Date
- Jul 15, 2016
- Last Updated
- Jul 15, 2016
Practice Location
- Address
- 37802 FISCHER RD
- City
- Anza
- State
- California
- ZIP Code
- 92539-9203
- Phone
- (951) 551-3204
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse's Aide |
| Home Health Aide |
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