Individual
MRS. CHRISTA FISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMP, NCMT, RYT
Contact information
Practice address
2927A W CARY ST, RICHMOND, VA 23221-3515
(804) 986-1723
Mailing address
11115 GREAT MEADOWS DR, MECHANICSVILLE, VA 23116-3159
(804) 550-7760
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0019002004
VA
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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