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Individual

TRENA FISHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4034 WARNER ROAD, MARION, NY 14505
(315) 926-2406
Mailing address
4034 WARNER ROAD, MARION, NY 14505

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
449677
NY

Other

Enumeration date
11/30/2011
Last updated
11/30/2011
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