Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA PACIFICO
Active Sole ProprietorAMANDA PACIFICO is a Health Maintenance Organization healthcare provider located in CLINTON TOWNSHIP, Michigan. NPI 1932505880 is currently active in the NPPES registry. Verify at CMS.
Health Maintenance Organization · CLINTON TOWNSHIP, MI
Registration Details
- NPI Number
- 1932505880
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 4, 2014 (11.809862767075 yrs)
- Last Updated
- Nov 4, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
23965 SARAVILLA DR APT 3CLINTON TOWNSHIP, MI, 480353188Browse MI providers · Browse ZIP 48035
- Phone
- 5863394269
- Primary Specialty
-
Health Maintenance Organization
302R00000X
- Additional Specialty
- Student (Health Education/Training)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.