Individual
MRS. KEANTE SHAVONNE FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1294 BERNHARD RD, COLUMBUS, OH 43227-2078
(614) 725-2191
Mailing address
1294 BERNHARD RD, COLUMBUS, OH 43227-2078
(614) 725-2191
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
346338
OH
Other
Enumeration date
12/19/2008
Last updated
12/19/2008
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