Individual
MISS AMANDA BRIZUELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9500 HAVEN AVE STE 100, RANCHO CUCAMONGA, CA 91730-5871
(909) 980-6700
Mailing address
27261 LAS RAMBLAS STE 220, MISSION VIEJO, CA 92691-6468
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/09/2016
Last updated
09/19/2016
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