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Individual
MRS. KEVA T PITTMAN
Active
Individual
MRS. KEVA T PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN, LMT
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
252092
NY
225700000X
Massage Therapist
032009-01
NY
Other
Enumeration date
12/09/2016
Last updated
11/20/2020
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