Individual
AMANDA LEIGH FERNANDEZ
Active
Individual
AMANDA LEIGH FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS, LD/N, ATC, LAT
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
ND8449
FL
2255A2300X
Athletic Trainer
AL3650
FL
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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