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1700256013
AMANDA FERNANDES
SAN DIEGO, CA
NPI
1700256013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 9977)
Enumeration Date
2015-09-29
Last Update Date
2015-09-29
Business Address
-- AMANDA FERNANDES
7840 MISSION CENTER CT STE 200
SAN DIEGO, CA 92108-1320
Phone number: 619-692-0622
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Mailing Address
-- AMANDA FERNANDES
1801 DIAMOND ST UNIT 3-324
SAN DIEGO, CA 92109-3329
Phone number: 914-227-7087
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