Individual
AMANDA ILIANA FRAUSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 S 7TH AVE, LA PUENTE, CA 91746-3211
(626) 961-8971
Mailing address
160 S 7TH AVE, LA PUENTE, CA 91746-3211
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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