AMANDA ROATH

LANSING, MI
NPI1740861269
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI  5151014954)
Enumeration Date2021-04-16
Last Update Date2021-04-16
Business Address
AMANDA ROATH DO
401 W GREENLAWN AVE
LANSING, MI 48910-2819
Phone number: 517-975-6000
Mailing Address
AMANDA ROATH DO
401 W GREENLAWN AVE
LANSING, MI 48910-2819
Phone number: 517-975-6000