SearchMaryland374U00000X

Jean Leonard Petiho

NPI 1447123773 · on the registry since 2025

Practice

Address
11453 Cherry Hill Rd Apt 303
Beltsville, MD 20705
Phone
(240) 475-2673

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
DC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-24

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 Maryland