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Individual

AMANDA DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
36555 SUNNY LN, PALMDALE, CA 93550-1019
(661) 285-5866
Mailing address
36555 SUNNY LN, PALMDALE, CA 93550-1019
(661) 285-5866

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
220241258
CA

Other

Enumeration date
04/08/2026
Last updated
04/08/2026
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