Individual
AMANDA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
429 EAST OLIVE, DEMING, NM 88030
(575) 546-4497
(575) 936-4481
Mailing address
P.O. BOX 1349, SILVER CITY, NM 88062-1349
(429) 388-4497
(575) 597-4499
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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