AMANDA LISE CAR

LOMA LINDA, CA
NPI1659012953
Former NameAMANDA LISE IAVASILE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: CA  20A21807)
Enumeration Date2022-04-02
Last Update Date2025-10-08
Business Address
AMANDA LISE CAR DO
11234 ANDERSON ST
LOMA LINDA, CA 92354-2804
Phone number: 909-558-4174
Mailing Address
AMANDA LISE CAR DO
11234 ANDERSON ST STE C
LOMA LINDA, CA 92354-2804
Phone number: