Individual
MARY AMAUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1720 E 120TH ST, LOS ANGELES, CA 90059-3052
(424) 338-2555
Mailing address
15735 BLAINE AVE APT 11, BELLFLOWER, CA 90706-3643
(424) 345-4919
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95174785
CA
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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