Individual
AMANDA MARIE STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 N PALM CANYON DR STE A4, PALM SPRINGS, CA 92262-1866
(760) 424-5602
Mailing address
2500 N PALM CANYON DR STE A4, PALM SPRINGS, CA 92262-1866
(760) 424-5602
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
204194
CA
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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