Individual
AMANDA BETH EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1664 BROADWAY, EL CAJON, CA 92021-5201
(619) 579-8685
(619) 579-1969
Mailing address
7376 CENTRAL AVE APT B, LEMON GROVE, CA 91945-2253
(619) 396-4981
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
235039
CA
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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