NISHERAH LAEBONY PETTAWAY

RANCHO CUCAMONGA, CA
NPI1093592784
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2023-09-14
Last Update Date2023-09-14
Business Address
NISHERAH LAEBONY PETTAWAY
7161 EAST AVE APT 21
RANCHO CUCAMONGA, CA 91739-5916
Phone number: 909-749-3674
Mailing Address
NISHERAH LAEBONY PETTAWAY
7161 EAST AVE APT 21
RANCHO CUCAMONGA, CA 91739-5916
Phone number: 909-749-3674
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