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Individual

AMY ELIZABETH HARTWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1869 ELBA CIR, COSTA MESA, CA 92626-4708
(714) 727-6101
Mailing address
1869 ELBA CIR, COSTA MESA, CA 92626-4708
(714) 727-6101

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
12/06/2019
Last updated
03/02/2020
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