IndividualActive
Amanda Michael
NPI 1154964732 · Other Technician · Stockton, CA
Provider details
- NPI number
- 1154964732
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
2291 W March Ln Ste C101
Stockton, CA 95207-6669
Phone: (209) 817-2668
Approximate (ZIP-level) locationGet directions
Mailing address
2291 W March Ln Ste C101
Stockton, CA 95207-6669
Registry dates
- Enumerated
- 2019-10-25
- Last updated
- 2019-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.