Individual
AMANDA DEYANIRA SERVOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
615 E CROSSTOWN PKWY, KALAMAZOO, MI 49001-2501
(269) 553-7089
Mailing address
615 E CROSSTOWN PKWY, KALAMAZOO, MI 49001-2501
(269) 553-7089
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704335693
MI
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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