Individual
AMY EDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
58923 BUSINESS CENTER DR STE E, YUCCA VALLEY, CA 92284-7311
(760) 365-7209
Mailing address
58923 BUSINESS CENTER DR STE E, YUCCA VALLEY, CA 92284-7311
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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