Individual
AMBER KAYLAN PRIVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
729 PROSPECT ST STE 200, PORT ORCHARD, WA 98366-5330
(360) 895-1307
(360) 895-4805
Mailing address
13914 135TH STREET CT NW, GIG HARBOR, WA 98329-5666
(253) 509-4282
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
CO60970695
WA
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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