Individual
MRS. AMY JEAN O'NEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40300 WASHINGTON ST APT R101, BERMUDA DUNES, CA 92203-9564
(760) 567-9984
Mailing address
40300 WASHINGTON ST APT R101, BERMUDA DUNES, CA 92203-9564
(760) 567-9984
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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