Individual
AMANDA PETTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
836 S ARROYO PKWY, PASADENA, CA 91105-3212
(650) 773-8498
Mailing address
20425 SORRENTO LN APT 101, PORTER RANCH, CA 91326-4582
(650) 773-8498
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
53292
CA
Other
Enumeration date
10/28/2015
Last updated
03/19/2016
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