Most Relevant Information
Provider Data
| NPI Number: | 1003241183 |
| Provider Name: | AMANDA GRACE SWENSEN |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/09/2013 |
| Last Updated: | 09/09/2013 |
Provider Practice Location
4080 CENTRE ST
SUITE 104
SAN DIEGO
CA
921032655
Practice Location Phone/Fax
| Phone: | 6195439850 |
| Fax: |
Provider Mailing Location
4080 CENTRE ST
SUITE 104
SAN DIEGO
CA
921032655
Provider Mailing Phone/Fax
| Phone: | 6195439850 |
| Fax: |