Individual
AMANDA NICHOLE BABCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23260 VAN RESORT DR, MENDON, MI 49072-9596
(269) 858-6943
Mailing address
23260 VAN RESORT DR, MENDON, MI 49072-9596
(269) 858-6943
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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