Individual
MRS. AMBER LYNN VITSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.
Contact information
Practice address
1057 TROY SCHENECTADY RD, LATHAM, NY 12110-1002
(518) 220-2005
(518) 220-5004
Mailing address
1309 KEYES AVE, SCHENECTADY, NY 12309-5738
(518) 374-9322
(518) 374-9322
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
000941
CO
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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