Individual
AMANDA ADEL MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1450 FRAZEE RD, SAN DIEGO, CA 92108-4337
(619) 471-0379
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
(800) 926-8273
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
56303
CA
Other
Enumeration date
12/16/2018
Last updated
01/14/2019
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