Individual
AMANDA ESTEVANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4309 3RD AVE, SAN DIEGO, CA 92103-1407
(619) 876-4502
Mailing address
4309 3RD AVE, SAN DIEGO, CA 92103-1407
(619) 876-4502
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/25/2022
Last updated
06/15/2023
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