SHALITA PETTWAY

PORT ST LUCIE, FL
NPI1912309642
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2014-09-25
Last Update Date2014-09-25
Business Address
-- SHALITA PETTWAY
7229 PINE LAKES BLVD
PORT ST LUCIE, FL 34952
Phone number: 772-214-6911
Mailing Address
-- SHALITA PETTWAY
PO BOX 8532
HOBE SOUND, FL 33455
Phone number: 772-214-6911