Individual
AMANDA JESSICA MACIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
529 E LIVE OAK AVE STE E, ARCADIA, CA 91006-5600
(626) 538-2751
Mailing address
1401 PALM AVE APT B, SAN GABRIEL, CA 91776-3368
(626) 297-5679
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
4443
CA
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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