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
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | L9390 (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.