Individual
AMANDA JOY STALLINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1750 41ST AVE, CAPITOLA, CA 95010-2503
(831) 476-0400
Mailing address
1750 41ST AVE, CAPITOLA, CA 95010-2503
(831) 476-0400
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
65010
CA
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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