Individual
AMANDA ELIZABETH ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 LOMA LN, CHULA VISTA, CA 91911-5310
(619) 420-3940
Mailing address
1420 LOMA LN, CHULA VISTA, CA 91911-5310
(619) 420-3940
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
190059041
CA
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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