Individual
AMANDA FENN GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1290 TAVERN RD, MAMMOTH LAKES, CA 93546-6601
(760) 924-1740
Mailing address
PO BOX 2619, MAMMOTH LAKES, CA 93546-2619
(760) 924-1740
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
CA
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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