Individual
AMANDA J BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3184 LYNN CT, NEWBURY PARK, CA 91320-3029
(520) 465-7277
Mailing address
3184 LYNN CT, NEWBURY PARK, CA 91320-3029
(520) 465-7277
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
729955
CA
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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