Provider Demographics
NPI:1164605606
Name:WARD, AMANDA MARIE (ND)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:MARIE
Last Name:WARD
Suffix:
Gender:F
Credentials:ND
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Mailing Address - Street 1:264 N COAST HIGHWAY 101
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-3254
Mailing Address - Country:US
Mailing Address - Phone:760-230-4982
Mailing Address - Fax:760-239-6068
Practice Address - Street 1:3978 SORRENTO VALLEY BLVD STE 310
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-1436
Practice Address - Country:US
Practice Address - Phone:760-230-4982
Practice Address - Fax:858-452-2501
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-06
Last Update Date:2012-08-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAND-273175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath