Individual
AMANDA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC.
Contact information
Practice address
450 VIN ROSE WAY, MANTECA, CA 95337-6831
(209) 456-2206
Mailing address
450 VIN ROSE WAY, MANTECA, CA 95337-6831
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 17358
CA
Other
Enumeration date
11/07/2016
Last updated
02/11/2022
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