Individual
AMANDA WELVAERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 GRASS VALLEY HWY, AUBURN, CA 95603-4533
(530) 885-0344
Mailing address
275 GRASS VALLEY HWY, AUBURN, CA 95603-4533
(530) 885-0344
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA21390
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/10/2010
Last updated
06/17/2015
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