Individual
AMANDA LEIGH WAINFAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1525 MESA VERDE DR E STE 108, COSTA MESA, CA 92626-5221
(714) 502-4243
(866) 622-9879
Mailing address
1525 MESA VERDE DR E STE 108, COSTA MESA, CA 92626-5221
(714) 502-4243
(866) 622-9879
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
DC36915
CA
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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