Amanda Marie Richardson

NPI #1750871760 in San Dimas, California

Provider Information

NPI Number: 1750871760
Entity Type: Individual
Name: Amanda Marie Richardson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: May 15, 2018
Last Updated: Jun 29, 2022

Practice Location

Address: 306 N BASILIO AVE
City: San Dimas
State: California
ZIP Code: 91773-2707
Phone: (909) 754-0280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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