Amanda M Fagan

NPI #1790664142 in Gardner, Illinois

Provider Information

NPI Number
1790664142
Entity Type
Individual
Name
Amanda M Fagan
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Emergency Medical Technician, Paramedic
Enumeration Date
Aug 29, 2025
Last Updated
Aug 29, 2025

Practice Location

Address
206 DEPOT ST
ZIP Code
60424-9441
Phone
(815) 557-0980

Specialties & Taxonomy Codes

Specialty
Emergency Medical Technician, Paramedic

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