Individual
AMY GORENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2385 SHERI PL, ALPINE, CA 91901-4805
(858) 232-7558
Mailing address
2385 SHERI PL, ALPINE, CA 91901-4805
(858) 232-7558
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
852403
CA
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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