Individual
MRS. AMANDA HEATHER MAUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LDEM
Contact information
Practice address
973 N 6000 W, CORINNE, UT 84307-9727
(435) 709-8980
(801) 210-5797
Mailing address
973 N 6000 W, CORINNE, UT 84307-9727
(435) 709-8980
(801) 210-5797
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
12347150-3400
UT
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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