Individual
AMANDA KAY O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2800 N CALIFORNIA ST, STOCKTON, CA 95204-3757
(209) 465-5891
Mailing address
2800 N CALIFORNIA ST, STOCKTON, CA 95204-3757
(209) 465-5891
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
95016618
CA
Other
Enumeration date
02/14/2021
Last updated
02/14/2021
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