Individual
AMANDA CORNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1114 E CHIPPEWA ST, MT PLEASANT, MI 48858-1853
(989) 854-1711
Mailing address
7851 N LEATON RD, CLARE, MI 48617-9135
(989) 560-0618
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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