Individual
AMANDA RENEE DUPRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1000 W CARSON ST, TORRANCE, CA 90502-2004
(310) 222-2912
Mailing address
3218 WILLOWBROOK AVE, PALMDALE, CA 93551-1034
(818) 929-6415
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036.160815
IL
207Q00000X
Family Medicine Physician
Primary
20A19725
CA
Other
Enumeration date
03/26/2019
Last updated
08/28/2023
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