Individual
MS. AMANDA AMY DIEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2577 SAMARITAN DR STE 810, SAN JOSE, CA 95124-4109
(408) 358-0133
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(408) 358-0133
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
56841
CA
Other
Enumeration date
04/16/2019
Last updated
12/02/2020
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