Individual
DR. AMANDA MARIE BLANDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
4655 14 MILE RD NE STE B, ROCKFORD, MI 49341-7308
(616) 884-0645
(616) 884-0646
Mailing address
69 TEASEL ST NE, COMSTOCK PARK, MI 49321-9599
(616) 301-4214
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT61008474
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NT61008474
NATUROPATHIC PHYSICIAN LICENSE
WA
Enumeration date
05/15/2020
Last updated
05/15/2020
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