Lidia Pettis

NPI 1770904682 - Rehabilitation Practitioner - 225400000X

NPI Details
NPI 1770904682
Gender Female
Enumeration Date 12/18/2013
Last Updated 12/18/2013
Entity Type Individual
Active Over 2 years ago
Practice Location
1760 N DECATUR BLVD
79
LAS VEGAS NV, 89108-2208, US
Phone (702) 810-9742
Fax
Business Location
1760 N DECATUR BLVD
79
LAS VEGAS NV, 89108-2208, US
Phone (702) 810-9742
Fax
Toxanomy
Taxonomy Code 225400000X
License State
License Number
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According to our database, Lidia Pettis NPI is 1770904682, taxonomy code is 225400000X Lidia Pettis physically located at 1760 N Decatur Blvd, Las Vegas NV, 89108-2208. NPI Number Lidia Pettis has the Individual type.

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1770904682 NPI number is provided on an as is basis without warranty of any kind. 1770904682 is maintained by the National Plan & Provider Enumeration System. The contents of Lidia Pettis are for informational purposes only.