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Individual

MISS AMANDA DANIELLE COTTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CMT

Contact information

Practice address
316 N MOUNTAIN AVE, UPLAND, CA 91786-5115
(909) 255-9331
Mailing address
PO BOX 11256, SAN BERNARDINO, CA 92423-1256
(909) 255-9331

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
31523
CA

Other

Enumeration date
05/01/2012
Last updated
11/20/2012
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