AMANDA ELYSE TAVAREZ

REDLANDS, CA
NPI1740985878
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: CA  95030859)
Additional Taxonomies163W00000X Registered Nurse
(Licence: CA  95025355)
Enumeration Date2023-03-30
Last Update Date2024-07-17
Business Address
MS. AMANDA ELYSE TAVAREZ RN
2038 W PARK AVE
REDLANDS, CA 92373-6260
Phone number: 833-462-4800
Mailing Address
MS. AMANDA ELYSE TAVAREZ RN
10285 AGATE AVE
MENTONE, CA 92359-1378
Phone number: 909-725-1985