Amanda Shaw
Amanda Shaw is a Licensed Psychiatric Technician in Fontana, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
15217 San Bernardino AveFontana, CA 92335-5327
Phone: (951) 643-2150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Psychiatric Technician (primary) | Taxonomy 167G00000X (CA) |
|---|
Record details
| NPI number | 1336876523 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 6, 2022 |
| Last updated in NPPES | August 27, 2022 |
| Certification date | August 27, 2022 |
| Mailing address | 15217 San Bernardino Ave, Fontana, CA 92335-5327 |
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