Individual
AMANDA J. BURRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
477 N EL CAMINO REAL STE A100, ENCINITAS, CA 92024-1329
(760) 943-9111
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(760) 479-3900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
58867
CA
363AM0700X
Medical Physician Assistant
Primary
58867
CA
Other
Enumeration date
06/07/2020
Last updated
12/19/2024
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