Individual
AMY NOACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
401 S TUSTIN ST BLDG D, ORANGE, CA 92866-2550
(714) 289-3936
Mailing address
401 S TUSTIN ST BLDG D, ORANGE, CA 92866-2550
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95067692
CA
Other
Enumeration date
03/30/2021
Last updated
01/14/2025
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