Individual
MS. DORIS JEAN AMAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11664 178TH ST APT A, ARTESIA, CA 90701-3881
(562) 402-8513
Mailing address
11664 178TH ST APT A, ARTESIA, CA 90701-3881
(562) 402-8513
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
27254
CA
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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