Individual
FERNANDA TIRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(407) 398-5557
Mailing address
306 E HARWOOD ST, ORLANDO, FL 32801-1502
(407) 398-5557
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
OT022877
PA
Other
Enumeration date
03/17/2022
Last updated
09/13/2024
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