Individual
AMANDA MARCHINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
450 LAUREL ST, DES MOINES, IA 50314-3045
(515) 343-6458
Mailing address
7024 PLUM DR, URBANDALE, IA 50322-8001
(515) 650-7520
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
000896
IA
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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