Individual
AMIYA SUMMER WILT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 N FAIRVIEW ST, LOCK HAVEN, PA 17745-2390
(814) 312-2693
Mailing address
401 N FAIRVIEW ST, LOCK HAVEN, PA 17745-2342
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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