WANDA PETTYE

PARK FOREST, IL
NPI1780998674
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IL  043071327)
Enumeration Date2010-08-03
Last Update Date2010-08-03
Business Address
-- WANDA PETTYE
3618 WESTERN AVE
PARK FOREST, IL 60466-2126
Phone number: 708-228-0999
Mailing Address
-- WANDA PETTYE
3618 WESTERN AVE
PARK FOREST, IL 60466-2126
Phone number: 708-228-0999