Individual
AMY TISCHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14687 AVENIDA CENTRAL, LA GRANGE, CA 95329-9799
(209) 852-2583
Mailing address
14687 AVENIDA CENTRAL, LA GRANGE, CA 95329-9799
(209) 852-2583
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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