Individual
AMANDA BAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 E MOUNTAIN VIEW ST, SUITE 100, BARSTOW, CA 92311-2814
(760) 256-7279
Mailing address
309 E MOUNTAIN VIEW ST, SUITE 100, BARSTOW, CA 92311-2814
(760) 256-7279
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
D6779422
CA
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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