Individual
AMY HORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPA-C
Contact information
Practice address
100 HOSPITAL DR STE 303, VALLEJO, CA 94589-2583
(707) 645-7210
(707) 645-7249
Mailing address
1248 BELMONT AVE, SAN CARLOS, CA 94070-5127
(607) 661-0182
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
1161
CA
363A00000X
Physician Assistant
18634
NY
363A00000X
Physician Assistant
Primary
52433
CA
Other
Enumeration date
10/07/2011
Last updated
06/29/2023
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