Individual
MRS. AMANDA LEE JOHN TITUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10535 HOSPITAL WAY, MATHER, CA 95655-4200
(916) 843-7000
Mailing address
1230 S 50TH AVE APT 10, WAUSAU, WI 54401-8654
(701) 891-8216
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
R36608
ND
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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