Individual
CRAIG JAMAL FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
1111 GLACIER AVE, CAPITOL HEIGHTS, MD 20743-5905
(240) 593-5962
Mailing address
1111 GLACIER AVE, CAPITOL HEIGHTS, MD 20743-5905
(240) 593-5962
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
A00122525
MD
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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