Individual
MS. AMANDA JAYNE SWEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
309 W QUINTO ST, SANTA BARBARA, CA 93105-5318
(805) 563-0041
(805) 563-0051
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 20337
CA
363AM0700X
Medical Physician Assistant
130700
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA20337
LICENSE
CA
Enumeration date
10/24/2007
Last updated
02/24/2021
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