Individual
AMANDA FERNANDEZ-QUARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5801 S FASHION BLVD, MURRAY, UT 84107-6159
(801) 262-7246
Mailing address
5801 S FASHION BLVD, MURRAY, UT 84107-6159
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
14205601-1206
UT
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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