Individual
AMANDA FRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1703 FAIRWAY LN, SPANISH FORK, UT 84660-9499
(801) 471-1390
Mailing address
1703 FAIRWAY LN, SPANISH FORK, UT 84660-9499
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
F25-127147
UT
Other
Enumeration date
11/20/2025
Last updated
11/20/2025
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