Individual
AMANDA TEDESCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(909) 907-2022
Mailing address
35470 ACACIA AVE, YUCAIPA, CA 92399-3912
(909) 907-2022
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/29/2025
Last updated
03/29/2025
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