Individual
AMANDA SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1131 SAN FELIPE RD, HOLLISTER, CA 95023-2800
(831) 630-4020
Mailing address
1131 SAN FELIPE RD, HOLLISTER, CA 95023-2800
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT30819
CA
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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