Individual
MRS. AMANDA CANTILLER MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
804 FIRETHORN ST, SAN DIEGO, CA 92154-2635
(619) 581-9764
Mailing address
804 FIRETHORN ST, SAN DIEGO, CA 92154-2635
(619) 581-9764
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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