SearchConnecticut363LG0600X

Denisha Pettway

NPI 1356038905 · on the registry since 2023 · sole proprietor

Practice

Address
397 Eastern St Apt B
New Haven, CT 06513
Phone
(203) 843-1059

Registry record

Primary taxonomy
363LG0600X
363LG0600X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-06-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut