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Amanda Ellen Mauch, LE
Specialist in Lodi, California
NPI 1194247296

Amanda Ellen Mauch is a Specialist based in Lodi, CA. Amanda Ellen Mauch practices in Lodi, CA and has the professional credentials of LE. The NPI Number for Amanda Ellen Mauch is 1194247296 and holds a License No. L9390 (California).

The current practice location address for Amanda Ellen Mauch is 1806 W Kettleman Ln Ste A, Lodi, CA and can be reached out via phone at 209-327-2055.

Location: 1806 W Kettleman Ln Ste A, Lodi, CA, 95242-4316
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194247296
Provider Name
Amanda Ellen Mauch
Credential
LE
Provider Entity Type
Individual
Gender
Female
Address
1806 W Kettleman Ln Ste A, Lodi, CA, 95242-4316
Phone Number
209-327-2055
Fax Number
Provider Enumeration Date
07/10/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1806 W Kettleman Ln Ste A
City
Lodi
State
California
Zip
95242-4316
Phone Number
209-327-2055
Fax Number
person
Provider Business Mailing Address Details
Address
1806 W Kettleman Ln Ste A
City
Lodi
State
California
Zip
95242-4316
Phone Number
209-327-2055
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
L9390 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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