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Individual

AMANDA LYNN DIMECH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2211 MOORPARK AVE STE 130, SAN JOSE, CA 95128-2655
(408) 286-1707
Mailing address
2211 MOORPARK AVE STE 130, SAN JOSE, CA 95128-2655

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61977
CA

Other

Enumeration date
12/23/2022
Last updated
12/23/2022
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