Individual
AMANDA ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
718 4TH ST, SAN RAFAEL, CA 94901-3213
(415) 450-5303
Mailing address
718 4TH ST, SAN RAFAEL, CA 94901-3213
(415) 450-9303
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95009222
CA
Other
Enumeration date
01/03/2019
Last updated
01/16/2019
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