Glenn Petillo
Glenn Petillo is a Nurse's Aide in Anza, California. Licensed in California. Registered with an NPI since 2016.
- Licensed in
- CA
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
37802 Fischer RdAnza, CA 92539-9203
Phone: (951) 551-3204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse's Aide (primary) | Taxonomy 376K00000X · Licence 00903914 (CA) |
|---|---|
| Home Health Aide | Taxonomy 374U00000X · Licence 00270053 (CA) |
Record details
| NPI number | 1770936635 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 15, 2016 |
| Last updated in NPPES | July 15, 2016 |