NICOLE THEODORA PETTWAY

DETROIT, MI
NPI1891091773
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MI  4703101683)
Enumeration Date2011-02-10
Last Update Date2011-02-10
Business Address
-- NICOLE THEODORA PETTWAY lpn
20201 ASBURY PARK ST
DETROIT, MI 48235
Phone number: 313-826-4449
Mailing Address
-- NICOLE THEODORA PETTWAY lpn
20201 ASBURY PARK
DETROIT, MI 48235-2102
Phone number: 313-826-4449
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