Provider Demographics
NPI:1477273332
Name:GEORGE, AMANDA CAROLINE (ND, BSC)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:CAROLINE
Last Name:GEORGE
Suffix:
Gender:F
Credentials:ND, BSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5605 SUMAC PLACE
Mailing Address - Street 2:
Mailing Address - City:NORTH VANCOUVER
Mailing Address - State:BRITISH COLUMBIA
Mailing Address - Zip Code:V7R4T6
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:28801 GOLDEN MEADOW DR.
Practice Address - Street 2:
Practice Address - City:RANCHO PALOS VERDES
Practice Address - State:CA
Practice Address - Zip Code:90275
Practice Address - Country:US
Practice Address - Phone:604-715-1887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA1343175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath