Individual
LAUREN ASHLEY AMADO-MANCHEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9444 BALBOA AVE, SAN DIEGO, CA 92123-4447
(858) 694-3900
Mailing address
9444 BALBOA AVE, SAN DIEGO, CA 92123-4447
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
95361204
CA
Other
Enumeration date
02/20/2024
Last updated
02/21/2024
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