Search › New Jersey › 111N00000X
Leez-Betina Petit
NPI 1770049249 · on the registry since 2019 · sole proprietor
Practice
- Address
- 14 Gallaway Ln
Willingboro, NJ 08046 - Phone
- (908) 494-5150
- Organisation at this address
- Origin Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Also registered as
- 171100000X
171100000X - Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-07-22
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 New Jersey