Individual
AMANDA CLAIRE HERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43825 MICHIGAN AVE, CANTON, MI 48188-2551
(734) 397-3088
Mailing address
15231 S PLAZA DR APT 202, TAYLOR, MI 48180-5266
(989) 737-6209
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/12/2010
Last updated
09/12/2010
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