Individual
AMANDA LEE CARBONELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11151 SUN CENTER DR STE C, RANCHO CORDOVA, CA 95670-6194
(916) 273-3389
Mailing address
4604 A PKWY, SACRAMENTO, CA 95823-3166
(209) 470-7523
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
3417
CA
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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