Individual
AMANDA FIFFICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2049 E 100TH ST, CLEVELAND, OH 44106-2104
(216) 445-4500
Mailing address
2049 E 100TH ST, CLEVELAND, OH 44106-2104
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004718RX
OH
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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