Individual
AMANDA AMUNDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4309 3RD AVE, SAN DIEGO, CA 92103-1407
(619) 692-0777
Mailing address
4309 3RD AVE, SAN DIEGO, CA 92103-1407
(619) 692-0777
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/29/2011
Last updated
06/29/2011
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