Individual
AMANDA BOUY BALCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
951 MARINERS ISLAND BLVD, SAN MATEO, CA 94404-1558
(650) 285-6927
(888) 352-7383
Mailing address
10170 SORRENTO VALLEY RD, MAIL DROP SV-5, SAN DIEGO, CA 92121-1604
(858) 784-5888
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP20385
CA
Other
Enumeration date
05/25/2011
Last updated
02/25/2022
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