Individual
AMANDA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1825 4TH ST, SAN FRANCISCO, CA 94143-2350
(415) 353-8529
Mailing address
113 GOLDEN HIND PSGE, CORTE MADERA, CA 94925-1949
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14038
CA
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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