Individual
AMBER HUIZENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
628 MONTEZUMA STREET, RIO VISTA, CA 94571
(707) 374-5243
Mailing address
2324 PEYTON DRIVE, OAKLEY, CA 94561
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/05/2017
Last updated
11/27/2017
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