Individual
AMANDA P TARAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
325 S MELROSE DR, VISTA, CA 92081-6627
(760) 940-4493
Mailing address
2411 ASHFORD GLN, ESCONDIDO, CA 92027-2987
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95171679
CA
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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