AMANDA M IMAI

TUSTIN, CA
NPI1508195231
Former NameAMANDA M IRISH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  18741)
Enumeration Date2009-12-08
Last Update Date2014-01-23
Business Address
-- AMANDA M IMAI NP
2742 DOW AVE
TUSTIN, CA 92780-7242
Phone number: 714-665-1600
Mailing Address
-- AMANDA M IMAI NP
2742 DOW AVE
TUSTIN, CA 92780-7242
Phone number: 714-665-1600
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