Individual
PATRICIA ANN FISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3184 BERKSHIRE PKWY, CLIVE, IA 50325-2636
(515) 991-4679
Mailing address
3184 BERKSHIRE PKWY, CLIVE, IA 50325-2636
(515) 991-4679
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
X000718335
—
IA
Enumeration date
01/19/2023
Last updated
01/19/2023
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