Amanda Fish is a Specialist based in San Bernardino, CA. Amanda Fish practices in San Bernardino, CA. The NPI Number for Amanda Fish is 1306179536 and holds a License No. (California).
The current practice location address for Amanda Fish is 2080 S E St, San Bernardino, CA and can be reached out via phone at 909-388-9191.
Location: 2080 S E St, San Bernardino, CA, 92404-4952
Provider Profile Details
NPI Number
1306179536
Provider Name
Amanda Fish
Credential
Provider Entity Type
Individual
Gender
Female
Address
2080 S E St, San Bernardino, CA, 92404-4952
Phone Number
909-388-9191
Fax Number
Provider Enumeration Date
09/04/2009
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124100383 | 05 | CA |
Provider Business Practice Location Address Details
Address
2080 S E St
City
State
Zip
92408-2706
Phone Number
909-388-9191
Fax Number
Provider Business Mailing Address Details
Address
2080 S E St
City
State
Zip
92408-2706
Phone Number
909-388-9191
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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