Provider Demographics
NPI:1982139234
Name:HUTCHINS LLOYD, AMANDA JOY (DC)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:JOY
Last Name:HUTCHINS LLOYD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4667 PESCADERO AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92107-3538
Mailing Address - Country:US
Mailing Address - Phone:231-736-8185
Mailing Address - Fax:
Practice Address - Street 1:3691 VIA MERCADO STE 15
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91941-8325
Practice Address - Country:US
Practice Address - Phone:619-444-3191
Practice Address - Fax:619-444-3193
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-25
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33851111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor