Individual
MRS. AMANDA MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3613 VISTA WAY, OCEANSIDE, CA 92056-4522
(760) 758-5340
Mailing address
3613 VISTA WAY, OCEANSIDE, CA 92056-4522
(760) 758-5340
(760) 758-5502
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17114
CA
Other
Enumeration date
05/11/2012
Last updated
05/11/2012
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