Individual
MS. SUSAN HARRISON FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
1980 SOUTH SYCAMORE STREET, PETERSBURG, VA 23805-2729
(804) 861-3005
(804) 861-8243
Mailing address
1980 SOUTH SYCAMORE STREET, PETERSBURG, VA 23805-2729
(804) 861-3005
(804) 861-8243
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101001358
VA
Other
Enumeration date
01/22/2007
Last updated
05/16/2016
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