Holly Jo Pettit, LPN | |
801 Lakefield Dr, Galloway, OH 43119-9020 | |
(614) 638-7383 | |
Not Available |
Full Name | Holly Jo Pettit |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 801 Lakefield Dr, Galloway, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164789418 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | PN118067 M-IV (Ohio) | Primary |
Mailing Address | Practice Location Address |
---|---|
Holly Jo Pettit, LPN 801 Lakefied Drive, Galloway, OH 43119 Ph: (614) 638-7383 | Holly Jo Pettit, LPN 801 Lakefield Dr, Galloway, OH 43119-9020 Ph: (614) 638-7383 |
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