Individual
AMANDA FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 996-5078
Mailing address
204 CHASE AVE, YONKERS, NY 10703-1939
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
3902000000
OH
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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