Individual
MRS. AMANDA DAWN FUGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
253 HURST LN, EUBANK, KY 42567-5208
(606) 379-0648
Mailing address
253 HURST LN, EUBANK, KY 42567-5208
(606) 379-0648
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1757
KY
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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