Individual
IRENE JOY AMABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7245 E SOUTHGATE DR, SACRAMENTO, CA 95823-2620
(916) 427-7141
Mailing address
9201 LAGUNA SPRINGS WAY, ELK GROVE, CA 95758-5338
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95182524
CA
164X00000X
Licensed Vocational Nurse
VN263302
CA
Other
Enumeration date
09/12/2017
Last updated
02/19/2019
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