Individual
AMANDA HANNAH THORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1941 JOHNSON AVE STE 301, SAN LUIS OBISPO, CA 93401-4175
(805) 786-4111
(805) 543-6357
Mailing address
1941 JOHNSON AVE STE 301, SAN LUIS OBISPO, CA 93401-4175
(805) 789-4111
(805) 543-6357
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
21016
CA
Other
Enumeration date
04/05/2019
Last updated
12/27/2024
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