John Jules Petty
John Jules Petty is a Case Manager/Care Coordinator in Wasilla, Alaska. Licensed in Alaska. Registered with an NPI since 2023.
- Licensed in
- AK
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
6701 W Leopold LoopWasilla, AK 99623-9834
Phone: (907) 231-0843
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X (AK) |
Record details
| NPI number | 1780376103 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 24, 2023 |
| Last updated in NPPES | May 24, 2023 |
| Certification date | May 24, 2023 |
| Mailing address | 6701 W Leopold Loop, Wasilla, AK 99623-9834 |
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