Individual
AMANDA HUIZENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 SUNSET DR, TECUMSEH, MI 49286-1237
(734) 325-3240
Mailing address
905 SUNSET DR, TECUMSEH, MI 49286-1237
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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