Individual provider · Type 1 NPI

Amanda Ellen Mauch, LE

Specialist · Lodi, CA

NPI number 1194247296 Active

Practice location

1806 W Kettleman Ln Ste A
Lodi, CA 95242-4316

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XL9390 (CA)

Specialist: 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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About NPI 1194247296

Amanda Ellen Mauch, LE's National Provider Identifier is 1194247296, issued on Jul 10, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lodi, CA. The record was last updated on Jul 10, 2017.