Individual
MRS. MEREDITH FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
FOURTH ST. BUILDING 166, FT IRWIN, CA 92310
(760) 380-3185
Mailing address
5294B BADGER LN, FORT IRWIN, CA 92310-2201
(760) 386-1257
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN068180
GA
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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