Individual
AMANDA THLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7751 ZELZAH AVE, RESEDA, CA 91335-2245
(747) 272-3297
Mailing address
7751 ZELZAH AVE, RESEDA, CA 91335-2245
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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