Individual
AMANDA MARIE AGRELA PIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
6145 N THESTA ST, FRESNO, CA 93710-5266
(559) 436-4820
Mailing address
1910 CUSTOMER CARE WAY, ATWATER, CA 95301-5167
(209) 722-4842
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
6008
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
6008
CA
Other
Enumeration date
06/28/2020
Last updated
12/18/2024
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