Most Relevant Information
Provider Data
| NPI Number: | 1003639709 |
| Provider Name: | AMANDA MCKAY RABAGO |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/01/2024 |
| Last Updated: | 11/01/2024 |
Provider Practice Location
1161 BAY BLVD STE B
CHULA VISTA
CA
919112670
Practice Location Phone/Fax
| Phone: | 6195857686 |
| Fax: |
Provider Mailing Location
1161 BAY BLVD STE B
CHULA VISTA
CA
919112670
Provider Mailing Phone/Fax
| Phone: | 6195857686 |
| Fax: |