Individual
SUZANNE AMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS NUTRITION
Contact information
Practice address
7806 HEATHER AVE, INYOKERN, CA 93527
(760) 463-2062
Mailing address
PO BOX 2256, RIDGECREST, CA 93556-2256
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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