Individual
MS. AMANDA JO NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3516 ELM AVE APT 408, LONG BEACH, CA 90807-3916
(310) 514-6525
Mailing address
3516 ELM AVE APT 408, LONG BEACH, CA 90807-3916
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
51860
CA
Other
Enumeration date
08/26/2014
Last updated
05/04/2016
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