Individual
AMANDA VLASVELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3812 N 1ST ST, FRESNO, CA 93726-4301
(559) 495-3120
Mailing address
3812 N 1ST ST, FRESNO, CA 93726-4301
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA21872
CA
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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