Individual
MRS. AMANDA MICHELLE HIBSHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2934 JUNIPER ST, SAN DIEGO, CA 92104-5435
(858) 774-6112
Mailing address
2934 JUNIPER ST, SAN DIEGO, CA 92104-5435
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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