Individual
AMANDA JANE TETLEY-FABRIZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
330 MOSS ST, CHULA VISTA, CA 91911-2005
(619) 585-4221
Mailing address
330 MOSS ST, CHULA VISTA, CA 91911-2005
(619) 585-4221
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95408355
CA
Other
Enumeration date
11/26/2025
Last updated
11/26/2025
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