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Individual

TAWNE FISHBACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP

Contact information

Practice address
729 N MEDICAL CENTER DR W, CLOVIS, CA 93611-6879
(559) 900-3045
Mailing address
1412 MOSAIC WAY, CLOVIS, CA 93619-5156
(559) 320-5570

Taxonomy

Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
95000226
CA

Other

Enumeration date
08/27/2014
Last updated
08/27/2014
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