Nisherah Laebony Pettaway
Nisherah Laebony Pettaway is a Community Health Worker in Rancho Cucamonga, California. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
7161 E Ave Apt 21Rancho Cucamonga, CA 91739-5916
Phone: (909) 749-3674
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Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1093592784 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 14, 2023 |
| Last updated in NPPES | September 14, 2023 |
| Certification date | September 14, 2023 |
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