Individual
GREGORY L PITTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
19940 CONANT ST, DETROIT, MI 48234-1494
(313) 733-4528
Mailing address
19940 CONANT ST, DETROIT, MI 48234-1494
(313) 733-4528
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703079208
MI
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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