Female

Johnnie M. Pettiford

Homemaker in Akron, OH(View on Map)

Full Name

Johnnie Mae Pettiford

NPI Number

1356100234

NPI Type

Individual Provider

Gender

Female

Enumeration Date

03/14/2024

Specialties

(Taxonomies)

Code

376J00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

592 ELMA ST
592 ELMA ST

City

Akron
Akron

State

OH
OH

Postal Code

44310-3208
44310-3208

Country

US
US

Telephone Number

(330) 388-8425
(330) 388-8425

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/14/2024

Provider Address

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