Individual
KAYANA PITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1716 44TH AVE, GULFPORT, MS 39501-3712
(228) 233-6505
Mailing address
1716 44TH AVE, GULFPORT, MS 39501-3712
(228) 233-6505
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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