Individual
MISS ERIKA LEE AMTHOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7095 INDIANA AVE STE 210, RIVERSIDE, CA 92506-4159
(951) 222-2212
Mailing address
1593 ROBIN MARIE CT, RIVERSIDE, CA 92501-1783
(951) 905-8356
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
52138
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52138
STATE OF CALIFORNIA
CA
Enumeration date
11/11/2014
Last updated
11/11/2014
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