Individual
AMY CHESNUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18165 ANDREA CIR N, #3, NORTHRIDGE, CA 91325-1166
(818) 612-3331
Mailing address
18165 ANDREA CIR N, #3, NORTHRIDGE, CA 91325-1166
(818) 612-3331
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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