AMANDA K LAC

LOMA LINDA, CA
NPI1760234967
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-04-02
Last Update Date2024-04-02
Business Address
AMANDA K LAC DO
11234 ANDERSON ST
LOMA LINDA, CA 92354-2804
Phone number: 909-558-6688
Mailing Address
AMANDA K LAC DO
11234 ANDERSON STREET GME OFFICE WESTERLY SUITE "C"
LOMA LINDA, CA 92354-2804
Phone number: