Individual
AMANDA FAZEKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
68 N MAIN ST APT D, SELLERSVILLE, PA 18960-2379
(267) 614-4611
Mailing address
68 N MAIN ST APT D, SELLERSVILLE, PA 18960-2379
(267) 614-4611
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN295176
PA
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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