Amanda Farley

NPI #1003364894 in Lake Orion, Michigan

Provider Information

NPI Number: 1003364894
Entity Type: Individual
Name: Amanda Farley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Sep 21, 2016
Last Updated: Sep 21, 2016

Practice Location

Address: 612 KIMBERLY
Address 2: APT 201
City: Lake Orion
State: Michigan
ZIP Code: 48362-2950
Phone: (269) 369-6066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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