Individual
AMANDA SOPHANNY LEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
298 BERNAL RD, SAN JOSE, CA 95119-1809
(408) 638-4744
(408) 956-6303
Mailing address
728 GLENBURRY WAY, SAN JOSE, CA 95123-1319
(408) 401-8218
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
06/30/2025
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