Individual
AMITA KANYAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1135 ATLANTA DR, LAKE ORION, MI 48359-1180
(248) 403-6732
Mailing address
1135 ATLANTA DR, LAKE ORION, MI 48359-1180
(248) 403-6732
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704398046
MI
Other
Enumeration date
02/24/2025
Last updated
05/27/2025
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