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Amanda Vierra, LAADC, MAC, ICCDP

NPI 1558413195 · on the registry since 2007

Practice

Address
4637 Columbia River Ct
San Jose, CA 95136
Phone
(408) 365-4559

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
171M00000X
174H00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-12-09

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