NPI 1093258493

Amanda Marchino, ATCLAT

Practitioner Contractor Des Moines, IA

Practice location

Address: 450 Laurel St, Des Moines, IA 50314-3045
Phone: (515) 343-6458
Mailing address: 7024 Plum Dr, Urbandale, IA 50322-8001

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 000896 (IA)

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Registry record

NPI: 1093258493
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Dec 2016
Record last updated: 2 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.