Individual
AMANDA J YSLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3148 MIDWAY DR STE 113, SAN DIEGO, CA 92110-4539
(858) 514-5100
Mailing address
8910 CLAIREMONT MESA BLVD, SAN DIEGO, CA 92123-1104
(858) 514-5144
(858) 514-5195
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
SUDRC13156
CA
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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