Individual
AMBER HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
780 ATLANTIC AVE, LONG BEACH, CA 90813-4565
(562) 624-1111
Mailing address
5229 FANWOOD AVE, LAKEWOOD, CA 90713-1940
(562) 965-2765
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95003949
CA
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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