SearchCalifornia225X00000X

Amanda Malicki

NPI 1497111322 · on the registry since 2016 · sole proprietor

Practice

Address
1567 Ocean Front St
San Diego, CA 92107
Phone
(805) 469-5288

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-01-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California