Individual
AMANDA LYNN BENGFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
406 MAIN ST, LAKE VIEW, IA 51450-7710
(712) 665-4099
Mailing address
406 MAIN ST, LAKE VIEW, IA 51450-7710
(712) 665-4099
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007583
IA
Other
Enumeration date
11/08/2012
Last updated
08/14/2014
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