Individual
BREEAUNA PITTENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3015 N MCKINLEY RD, FLUSHING, MI 48433-1907
(611) 857-6645
Mailing address
3015 N MCKINLEY RD, FLUSHING, MI 48433-1907
(611) 857-6645
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703121232
MI
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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