Amanda Nicole Weston PA-C

NPI 1407118136 - Physician Assistant - 363A00000X

NPI Details
NPI 1407118136
Gender Female
Enumeration Date 06/08/2012
Last Updated 04/29/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
765 MEDICAL CENTER CT
SUITE 216
CHULA VISTA CA, 91911-6600, US
Phone (619) 623-3000
Fax
Business Location
765 MEDICAL CENTER CT
SUITE 216
CHULA VISTA CA, 91911-6600, US
Phone (619) 623-3000
Fax
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA22158
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According to our database, Mrs. Amanda Nicole Weston PA-C NPI is 1407118136, taxonomy code is 363A00000X and license number is PA22158, license state is located at California. Amanda Nicole Weston PA-C physically located at 765 Medical Center Ct, Chula Vista CA, 91911-6600. NPI Number Amanda Nicole Weston PA-C has the Individual type.

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1407118136 NPI number is provided on an as is basis without warranty of any kind. 1407118136 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Nicole Weston PA-C are for informational purposes only.