Individual
AMANDA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 WESTIN LN, CHICO, CA 95973-5832
(530) 514-2623
Mailing address
305 WESTIN LN, CHICO, CA 95973-5832
(530) 514-2623
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP25410
CA
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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