Individual
MISS AMANDA CARNEIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4958 FOUNTAIN AVE, LOS ANGELES, CA 90029-1535
(718) 864-8700
Mailing address
4470 W. SUNSET BLVD, SUITE 107, PMB 95606, LOS ANGELES, CA 90027
(718) 864-8700
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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