Individual
DR. AMANDA E. BEAUDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D., M.S.
Contact information
Practice address
7910 FROST ST, SAN DIEGO, CA 92123-2771
(858) 309-7702
Mailing address
3020 CHILDRENS WAY # MC5003, SAN DIEGO, CA 92123-4223
(858) 309-6300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT33385
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPT33385
MEDICAL LICENSE
CA
Enumeration date
06/20/2016
Last updated
02/02/2024
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