Individual
ANGELA FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
165 ASHLEY AVE, EH110B MSC 290, CHARLESTON, SC 29425-8905
(843) 792-5062
Mailing address
165 ASHLEY AVE, EH110B MSC 290, CHARLESTON, SC 29425-8905
(843) 792-5062
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1167
SC
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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