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Individual

AMANDA AHMADI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
225 EAST SECOND AVENUE, ESCONDIDO, CA 92025
(760) 291-6700
(760) 291-6700
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(760) 806-5700

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95060232
CA

Other

Enumeration date
11/28/2022
Last updated
12/12/2024
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