Individual
AMANDA MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 N ALAMEDA ST, LOS ANGELES, CA 90012-1804
(213) 965-6491
Mailing address
21724 LAKE VISTA DR, LAKE FOREST, CA 92630-2414
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95231227
CA
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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