Most Relevant Information
Provider Data
| NPI Number: | 1003473075 |
| Provider Name: | AMIR HUSTON |
| Entity Type: | Individual |
| Taxonomy Code: | 247200000X |
| Specialty: | Technician, Other |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/23/2019 |
| Last Updated: | 05/23/2019 |
Provider Practice Location
3231 S GULLEY RD STE E
DEARBORN
MI
481244405
Practice Location Phone/Fax
| Phone: | 3132782327 |
| Fax: |
Provider Mailing Location
620 GERMANTOWN PIKE
LAFAYETTE HILL
PA
194441810
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |