Individual
TERESA FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
717 W MAIN ST, BEULAVILLE, NC 28518-8687
(910) 214-5289
Mailing address
717 W MAIN ST, BEULAVILLE, NC 28518-8687
(910) 214-5289
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC7473
NC
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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