Wanda Pettye
NPI #1780998674 in Park Forest, Illinois
Provider Information
- NPI Number
- 1780998674
- Entity Type
- Individual
- Name
- Wanda Pettye
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Aug 3, 2010
- Last Updated
- Aug 3, 2010
Practice Location
- Address
- 3618 WESTERN AVE
- City
- Park Forest
- State
- Illinois
- ZIP Code
- 60466-2126
- Phone
- (708) 228-0999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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