Individual
MARISA ANN ZITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., PA-C, RD
Contact information
Practice address
22726 MYLLS ST, SAINT CLAIR SHORES, MI 48081-2622
(586) 944-8505
Mailing address
22726 MYLLS ST, SAINT CLAIR SHORES, MI 48081-2622
(586) 944-8505
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010921
MI
Other
Enumeration date
03/23/2022
Last updated
05/03/2022
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