Michelle Suzanne Petty, LPN

NPI #1801302690 in Ontario, Ohio

Provider Information

NPI Number
1801302690
Entity Type
Individual
Name
Michelle Suzanne Petty, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Dec 16, 2017
Last Updated
Dec 16, 2017

Practice Location

Address
95 S IRELAND BLVD
State
Ohio
ZIP Code
44906-2220
Phone
(863) 677-4472

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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