Individual
AMANDA LADAGANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4525 MISSION GORGE PL, SAN DIEGO, CA 92120-4106
(619) 962-2498
Mailing address
3530 CAMINO DEL RIO N STE 300, SAN DIEGO, CA 92108-1746
(619) 962-2498
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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