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Individual

AMANDA YATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2686 SPRING ST, REDWOOD CITY, CA 94063-3522
(650) 368-3345
Mailing address
782 BOCKMAN RD, SAN LORENZO, CA 94580-2904
(408) 712-1785

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
12/09/2013
Last updated
07/08/2015
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