Most Relevant Information
Provider Data
| NPI Number: | 1003475070 |
| Provider Name: | AURORA KAY PETTETT RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 95169112 |
Most Important Dates
| Enumeration Date: | 06/12/2019 |
| Last Updated: | 06/12/2019 |
Provider Practice Location
4555 PRECISSI LN
STOCKTON
CA
952076239
Practice Location Phone/Fax
| Phone: | 2094774103 |
| Fax: | 2094771065 |
Provider Mailing Location
1691 THE ALAMEDA
SAN JOSE
CA
951262203
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |