Individual
AMANDA ANN HULLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4619 ROSEMEAD BLVD, ROSEMEAD, CA 91770-1478
(626) 286-1191
Mailing address
4619 ROSEMEAD BLVD, ROSEMEAD, CA 91770-1478
(626) 286-1191
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95066325
CA
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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