IndividualActive
Amanda Pacifico
NPI 1932505880 · Health Maintenance Organization · Clinton Township, MI
Provider details
- NPI number
- 1932505880
- Entity type
- Individual
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Managed Care Organizations
Student, Health Care
Practice location
23965 Saravilla Dr Apt 3
Clinton Township, MI 48035-3188
Phone: (586) 339-4269
Approximate (ZIP-level) locationGet directions
Mailing address
23965 Saravilla Dr Apt 3
Clinton Township, MI 48035-3188
Registry dates
- Enumerated
- 2014-11-04
- Last updated
- 2014-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.