Amanda Anastasoff

NPI #1306393822 in Wayne, Michigan

Provider Information

NPI Number: 1306393822
Entity Type: Individual
Name: Amanda Anastasoff
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Sep 1, 2016
Last Updated: Sep 1, 2016

Practice Location

Address: 35640 WEST MICHIGAN AVENUE
City: Wayne
State: Michigan
ZIP Code: 48184
Phone: (734) 729-7792

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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