Individual
AMANDA L JAMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 PARADISE RD, MODESTO, CA 95351-3163
(209) 558-4000
Mailing address
260 W COURT ST, APT 26, WOODLAND, CA 95695-2562
(916) 209-0401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A159540
CA
Other
Enumeration date
04/04/2017
Last updated
03/31/2021
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