Individual
DR. AMANDA MARLENE DESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
100A DRAKES LANDING RD STE 225, GREENBRAE, CA 94904-3119
(415) 461-7800
Mailing address
100A DRAKES LANDING RD, GREENBRAE, CA 94904-2438
(415) 461-7800
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
20A18165
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
P32561
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P32561
STATE LICENSE NUMBER
MD
Enumeration date
05/18/2016
Last updated
05/02/2023
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