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Individual

MISS AMANDA SEYOUN PERKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
9201 W SUNSET BLVD STE 510, LOS ANGELES, CA 90069-3706
(424) 278-9105
Mailing address
640 S CURSON AVE APT 509, LOS ANGELES, CA 90036-5926
(808) 721-9013

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95017632
CA

Other

Enumeration date
11/06/2021
Last updated
11/06/2021
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