Individual
DANIELLE AMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55475 SANTA FE TRL STE 100, YUCCA VALLEY, CA 92284-3117
(855) 365-6558
Mailing address
55475 SANTA FE TRL STE 100, YUCCA VALLEY, CA 92284-3117
(855) 365-6558
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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