Individual
MS. AMANDA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CNSC
Contact information
Practice address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
(209) 467-6356
Mailing address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
(209) 467-6356
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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