Individual
JACQUELINE RAY FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6201 ANNAPOLIS RD, LANDOVER HILLS, MD 20784
(301) 276-3377
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0006634
MD
Other
Enumeration date
10/10/2017
Last updated
06/18/2021
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