AMANDA SHAW

HUNTINGTON BEACH, CA
NPI1083362560
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95019414)
Enumeration Date2022-03-14
Last Update Date2022-03-14
Business Address
AMANDA SHAW PMHNP
18602 DEMION LN APT C
HUNTINGTON BEACH, CA 92646-8812
Phone number: 661-319-7834
Mailing Address
AMANDA SHAW PMHNP
18602 DEMION LN APT C
HUNTINGTON BEACH, CA 92646-8812
Phone number: 661-319-7834