Individual
MS. AMBER PITTAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PROVIDER
Contact information
Practice address
5867 NORTHRIDGE CIR, WATERFORD, MI 48327-1870
(248) 568-4533
Mailing address
5867 NORTHRIDGE CIR, WATERFORD, MI 48327-1870
(248) 568-4533
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
H630066493409
MI
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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