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NPI Profile for AMY M DIFATTA in VERSAILLES, MO.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Home Health |
163WH0200X |
| NPI # | 1104222850 |
|
| Status | Active | |
| Credentials | CNA,BA PSYCHOLOGY | |
| Entity | Individual | |
| Enumeration date | 11/07/2014 | |
| Last updated | 11/07/2014 - About 12 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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AMY M DIFATTA
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AMY M DIFATTA, CNA,BA PSYCHOLOGY