Individual
MANDY M FISHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1900 23RD ST, CUYAHOGA FALLS, OH 44223-1404
(330) 971-7246
(330) 971-7256
Mailing address
4330 TIMBERBROOK DR, CANFIELD, OH 44406-9366
(330) 718-6013
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005252RX
OH
Other
Enumeration date
11/07/2017
Last updated
12/02/2021
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