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Individual

TENISHA FISHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9105 E 83RD PL, RAYTOWN, MO 64138-3214
(816) 379-5134
Mailing address
9105 E 83RD PL, RAYTOWN, MO 64138-3214
(816) 379-5134

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
MO
374U00000X
Home Health Aide
MO
376K00000X
Nurse's Aide
Primary
91030A
MO

Other

Enumeration date
06/01/2016
Last updated
06/01/2016
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