Individual
DR. AMANDA ZOE MARIE DILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
877 OAK PARK BLVD, PISMO BEACH, CA 93449-3292
(805) 474-8450
(805) 547-8454
Mailing address
877 OAK PARK BLVD, PISMO BEACH, CA 93449-3292
(805) 474-8450
(805) 547-8454
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A7824
CA
Other
Enumeration date
07/05/2006
Last updated
07/09/2007
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