KIMYATA LATRICE PETTAWAY

TOLEDO, OH
NPI1093213738
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: OH  RN.446147)
Additional Taxonomies163WC1500X Registered Nurse, Community Health
(Licence: OH  RN.446147)
Enumeration Date2018-01-29
Last Update Date2023-05-02
Business Address
KIMYATA LATRICE PETTAWAY
2005 ASHLAND AVE
TOLEDO, OH 43620-1703
Phone number: 419-841-7701
Mailing Address
KIMYATA LATRICE PETTAWAY
2005 ASHLAND AVE
TOLEDO, OH 43620-1703
Phone number: 419-255-9585