Individual
AMANDA JOY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1451 IRVINE BLVD, TUSTIN, CA 92780-3804
(714) 838-8878
Mailing address
200 S MANCHESTER AVE STE 300, ORANGE, CA 92868-3219
(714) 456-2986
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95007657
CA
Other
Enumeration date
10/11/2017
Last updated
01/17/2023
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