Individual
DR. AMANDA J GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1411 E 31ST ST, QIC 22134, OAKLAND, CA 94602-1018
(510) 437-4965
(510) 437-5127
Mailing address
1411 E 31ST ST, QIC 22134, OAKLAND, CA 94602-1018
(510) 437-4965
(510) 437-5127
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/16/2012
Last updated
02/11/2022
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