Individual
MONIQUE DESIRAE AMADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 E DOMINGUEZ ST, SUITE 110, CARSON, CA 90746-3600
(310) 408-3912
Mailing address
1000 E DOMINGUEZ ST, SUITE 110, CARSON, CA 90746-3600
(310) 408-3912
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA21027
CA
Other
Enumeration date
07/08/2010
Last updated
09/09/2016
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