Individual
AMANDA LEE MONDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6281 SANTA BARBARA AVE, GARDEN GROVE, CA 92845-1246
(310) 562-1399
Mailing address
6281 SANTA BARBARA AVE, GARDEN GROVE, CA 92845-1246
(310) 562-1399
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95012357
CA
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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