Individual
KAISTE TITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1606 5TH AVE, ARNOLD, PA 15068-4452
(412) 657-8602
Mailing address
1962 MCNARY BLVD, PITTSBURGH, PA 15221-1225
(412) 657-8602
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
51683601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51683601
—
PA
Enumeration date
11/09/2020
Last updated
11/09/2020
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