Individual
GENEVIEVE FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 E FOURTH PLAIN BLVD, VANCOUVER, WA 98661-3713
(360) 397-8246
Mailing address
9211 NE 15TH AVE APT D166, VANCOUVER, WA 98665-9129
(360) 912-5749
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
61122154
WA
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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