Mauch, Amanda Ellen

Mauch, Amanda Ellen is an sole proprietor health care provider with primary practice located at 1806 W Kettleman Ln Ste A , Lodi CA 95242-4316. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Mauch, Amanda Ellen can be contacted via phone (209) 327-2055.

Contact Information

Primary practice address
1806 W Kettleman Ln Ste A Lodi CA 95242-4316
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X L9390 California

Profile Details

NPI number 1194247296
LBN Legal business name Mauch, Amanda Ellen
Credentials LE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2017
Last updated Jul 10th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers