Individual
AMANDA ROA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2248 MIL SORPRESAS DR, FALLBROOK, CA 92028-1833
(909) 534-1615
Mailing address
2248 MIL SORPRESAS DR, FALLBROOK, CA 92028-1833
(909) 534-1615
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95031782
CA
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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