Individual
AMANDA SENSABAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 BIRCH ST, SUITE # 200, NEWPORT BEACH, CA 92660-2618
(949) 722-7662
Mailing address
3701 BIRCH ST, SUITE 200, NEWPORT BEACH, CA 92660-2618
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01046423
CA
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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