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Individual

AMANDA EDMONSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
1804 EMBARCADERO RD, STE 100, PALO ALTO, CA 94303-3318
(650) 723-4000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
53223
CA
363A00000X
Physician Assistant

Other

Enumeration date
02/11/2016
Last updated
05/12/2016
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