Individual
MISS AMANDA COWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5220 W WASHINGTON BLVD, LOS ANGELES, CA 90016-1331
(310) 314-6200
Mailing address
2644 30TH ST STE 100, SANTA MONICA, CA 90405-3051
(310) 314-6200
(310) 450-2024
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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