Individual
AMANDA M FERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3302 N 19TH ST, TACOMA, WA 98406-6007
(425) 284-1545
Mailing address
3302 N 19TH ST, TACOMA, WA 98406-6007
(425) 284-1545
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01068543A
IN
207L00000X
Anesthesiology Physician
Primary
MD60225909
WA
Other
Enumeration date
06/08/2007
Last updated
08/09/2011
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