Organization
CALIFORNIA BAPTIST UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. AMANDA JEAN PITCHFORD PHD(C), MSN RN, PHN- (CLINIC ADMINISTRATOR MOBILE HEALTH)
(951) 552-8155
Entity
Organization
Contact information
Practice address
8432 MAGNOLIA AVE, RIVERSIDE, CA 92504-3297
(951) 343-4702
Mailing address
8432 MAGNOLIA AVE, RIVERSIDE, CA 92504-3297
(951) 343-4702
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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