Individual
AMANDA MARIE MITCHELL GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, EMT-P
Contact information
Practice address
3643 BOUNDARY ST, SAN DIEGO, CA 92104-3805
(661) 618-5305
Mailing address
3643 BOUNDARY ST, SAN DIEGO, CA 92104-3805
(661) 618-5305
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/31/2016
Last updated
07/12/2024
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