Individual
AMANDA BOCANEGRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCSH
Contact information
Practice address
3515 COOLIDGE RD STE A, EAST LANSING, MI 48823-8014
(517) 755-6888
(517) 657-7759
Mailing address
14270 GEDDES RD, HEMLOCK, MI 48626-9466
(989) 274-5648
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
1214
MI
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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