Individual
AMADA C MONSIVAES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT, ATC
Contact information
Practice address
315 TURWILL LN, KALAMAZOO, MI 49006-4231
(269) 343-8170
Mailing address
517 MECHANIC ST, THREE RIVERS, MI 49093-1635
(269) 625-8197
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601002624
MI
Other
Enumeration date
08/01/2021
Last updated
08/01/2021
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