Individual
AMANDA ROSE WILKINSON BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3025 BEYER BLVD, SAN DIEGO, CA 92154-3432
(619) 428-5533
(619) 428-5535
Mailing address
3025 BEYER BLVD, SAN DIEGO, CA 92154-3432
(619) 428-5533
(619) 428-5535
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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