TARA DIETZ NITTIS

ROYAL OAK, MI
NPI1073746715
Former NameTARA EGLE DIETZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MI  4704207690)
Enumeration Date2009-08-28
Last Update Date2009-08-28
Business Address
-- TARA DIETZ NITTIS NP
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number: 248-898-1994
Mailing Address
-- TARA DIETZ NITTIS NP
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number: 248-898-1994
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