Individual
RENEE MARIE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3119 EARLSWOOD LN, INDIANAPOLIS, IN 46217-9131
(317) 500-7315
Mailing address
3119 EARLSWOOD LN, INDIANAPOLIS, IN 46217-9131
(317) 500-7315
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
2310900011
IN
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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