Individual
AMANI SHILLEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20955 PATHFINDER RD STE 100, DIAMOND BAR, CA 91765-4029
(917) 861-6036
Mailing address
2 BETHPAGE LN, POMONA, CA 91766-7023
(917) 861-6036
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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