Amanda Rose Wightman
Amanda Rose Wightman is a Student in an Organized Health Care Education/Training Program in Fullerton, California. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
801 E Chapman AveFullerton, CA 92831-3839
Phone: (714) 680-9000
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1033766811 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 26, 2019 |
| Last updated in NPPES | August 26, 2019 |
| Mailing address | Po Box 919, Fullerton, CA 92836-0919 |
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