Individual
AMY CORRYN MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4744 LANKERSHIM BLVD, NORTH HOLLYWOOD, CA 91602-1833
(818) 505-0484
Mailing address
5416 FAIR AVE, NORTH HOLLYWOOD, CA 91601-2732
(978) 877-9426
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH80729
CA
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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