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Individual
MRS. AMBER EBONI FATIMA MCDONALD
Active
Individual
MRS. AMBER EBONI FATIMA MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1079
NH
363A00000X
Physician Assistant
PA9105797
FL
363AS0400X
Surgical Physician Assistant
014676
NY
363AS0400X
Surgical Physician Assistant
Primary
5523
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3101563
—
NH
Enumeration date
03/15/2011
Last updated
10/31/2024
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