Individual
MRS. AMANDA MARY GATIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
1899 SQUIRREL VALLEY DR, BLOOMFIELD HILLS, MI 48304-1145
(248) 561-3875
Mailing address
1899 SQUIRREL VALLEY DR, BLOOMFIELD HILLS, MI 48304-1145
(248) 561-3875
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-157651
MI
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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