Individual
AMANDA J CABASAAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1942 FAWNWOOD CT SE, KENTWOOD, MI 49508-6514
(616) 281-5105
Mailing address
1942 FAWNWOOD CT SE, KENTWOOD, MI 49508-6514
(616) 281-5105
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
MI
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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