Most Relevant Information
Provider Data
| NPI Number: | 1003522947 |
| Provider Name: | AMANDA ANDRUS MS |
| Entity Type: | Individual |
| Taxonomy Code: | 133NN1002X |
| Specialty: | Nutritionist |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/24/2023 |
| Last Updated: | 01/31/2023 |
Provider Practice Location
285 N EL CAMINO REAL STE 211
ENCINITAS
CA
920245385
Practice Location Phone/Fax
| Phone: | 8773814115 |
| Fax: | 8589011461 |
Provider Mailing Location
1279 MATCHPOINT DR
AMMON
ID
834064570
Provider Mailing Phone/Fax
| Phone: | 2085200938 |
| Fax: |