LATISHA MONIQUE PETTWAY

NEW HAVEN, CT
NPI1336422377
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CT  4954)
Enumeration Date2011-09-26
Last Update Date2017-01-06
Business Address
Mrs. LATISHA MONIQUE PETTWAY CRNA
1423 CHAPEL ST
NEW HAVEN, CT 06511-4411
Phone number: 203-865-3852
Mailing Address
Mrs. LATISHA MONIQUE PETTWAY CRNA
30 AUSTIN ST
NEW HAVEN, CT 06515-1236
Phone number: 203-387-7163
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