Individual
AMBER NICOLE ANAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16661 BUTANO PL, FONTANA, CA 92336-2075
(909) 224-8418
Mailing address
16661 BUTANO PL, FONTANA, CA 92336-2075
(909) 224-8418
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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