Individual
AMANDA FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
612 KIMBERLY, APT 201, LAKE ORION, MI 48362-2950
(269) 369-6066
Mailing address
612 KIMBERLY, APT 201, LAKE ORION, MI 48362-2950
(269) 369-6066
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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