Individual
AMANDA DECOTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1158 W MAIN ST, MERCED, CA 95340-4523
(209) 383-2404
(209) 383-1141
Mailing address
1158 W MAIN ST, MERCED, CA 95340-4523
(209) 383-2404
(209) 383-1141
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
71905
CA
Other
Enumeration date
11/22/2014
Last updated
11/22/2014
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