SearchMichigan374U00000X

Amanda Iaconelli

NPI 1225880909 · on the registry since 2024 · sole proprietor

Practice

Address
17145 Wood St
Melvindale, MI 48122
Phone
(734) 666-8325

Registry record

Primary taxonomy
374U00000X
374U00000X
Sex
Female
Record last updated
2024-04-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan