Individual
AMANDA MAY PACILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1136 N CHINOWTH ST, VISALIA, CA 93291-4113
(559) 671-0101
(559) 671-0101
Mailing address
2643 N CHINOWTH ST, VISALIA, CA 93291-8077
(559) 737-1231
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F05200132
CA
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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