Individual
AMANDA MATILDA REGODON WALLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
1950 ALAMEDA DE LAS PULGAS, SAN MATEO, CA 94403-1222
(650) 573-3571
(650) 572-9347
Mailing address
1950 ALAMEDA DE LAS PULGAS, SAN MATEO, CA 94403-1222
(650) 573-3571
(650) 572-9347
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A190935
CA
2084P0800X
Psychiatry Physician
PTL4010
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2020
Last updated
12/04/2024
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