Individual
AMANDA RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-1329
Mailing address
45095 FOX POINTE DR, CANTON, MI 48187-2565
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601009503
MI
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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