Individual
MS. AMANDA YVETTE THEOLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLINICAL NURSE LEADE
Contact information
Practice address
2615 E CLINTON AVE, FRESNO, CA 93703-2223
(559) 225-6100
Mailing address
81 LAKESHORE DR, SAN FRANCISCO, CA 94132-1117
(559) 978-6719
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
95210279
CA
Other
Enumeration date
05/16/2020
Last updated
05/16/2020
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