Individual
AMYRICA CENTENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
11401 BLOOMFIELD AVE, NORWALK, CA 90650-2015
(562) 863-7011
Mailing address
270 SIERRA MADRE WAY, CORONA, CA 92881-8339
(562) 333-5295
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95032057
CA
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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