LAVERN WATSON PETTAWAY

TALLAHASSEE, FL
NPI1265877328
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: FL  ARNP 2226142)
Enumeration Date2013-05-02
Last Update Date2013-05-02
Business Address
-- LAVERN WATSON PETTAWAY ARNP
1515 OLD BAINBRIDGE RD
TALLAHASSEE, FL 32303-5340
Phone number: 850-606-8010
Mailing Address
-- LAVERN WATSON PETTAWAY ARNP
1515 OLD BAINBRIDGE RD
TALLAHASSEE, FL 32303-5340
Phone number: 850-606-8010
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