Individual
CINDY DIANE VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5900 N LOTZ RD, CANTON, MI 48187-4331
(734) 394-4500
Mailing address
5900 N LOTZ RD, CANTON, MI 48187-4331
(734) 394-4500
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703108556
MI
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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