Individual
AMANDA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11262 CAMPUS STREET, WEST HALL, LOMA LINDA, CA 92350-1727
(995) 558-4923
Mailing address
11262 CAMPUS STREET, WEST HALL, LOMA LINDA, CA 92350-1727
(909) 558-1000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95026466
CA
Other
Enumeration date
04/25/2022
Last updated
10/31/2023
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