Individual
DR. AMANDA SUZETTE FREITAS DEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5330 SAN BERNARDINO ST, MONTCLAIR, CA 91763-2952
(866) 205-3595
Mailing address
5330 SAN BERNARDINO ST, MONTCLAIR, CA 91763-2952
(858) 837-2444
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20A18663
CA
2084P0800X
Psychiatry Physician
R2782
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2017
Last updated
06/08/2023
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