Individual
AUBRIE KLISA AMELANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
1001 E VILLA ST APT 29, PASADENA, CA 91106-1045
(208) 219-2211
Mailing address
1001 E VILLA ST APT 29, PASADENA, CA 91106-1045
(208) 219-2211
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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