Individual
AMANDA MARIE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
617 BAYONET CIR, MARINA, CA 93933-4600
(831) 384-7251
Mailing address
617 BAYONET CIR, MARINA, CA 93933-4600
(831) 384-7251
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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