SHANIA PETTICORD
Home Health Aide
Active
Individual
NPI: 1639922727
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Home Health Aide | 374U00000X | Yes | - |
Frequently Asked Questions
NPI 1639922727 is the National Provider Identifier for SHANIA PETTICORD, a Home Health Aide provider located in Detroit, MI. This NPI was enumerated on April 8, 2024.
SHANIA PETTICORD practices at 14944 FAIRMOUNT DR, Detroit, MI 48205.
Quick Facts
- NPI
- 1639922727
- Type
- Individual
- Enumerated
- Apr 8, 2024
- Last Updated
- Apr 8, 2024
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