Individual provider · Type 1 NPI

Amanda Tedesco

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1316740939 Active

Practice location

3400 Spruce St
Philadelphia, PA 19104-4238

Mailing address

35470 Acacia Ave
Yucaipa, CA 92399-3912

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1316740939

Amanda Tedesco's National Provider Identifier is 1316740939, issued on Mar 29, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 29, 2025.