Individual
SUSAN H FISH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11019 CANYON RD E, SUITE A, PUYALLUP, WA 98373-4298
(253) 537-0293
(253) 537-7650
Mailing address
11019 CANYON RD E, SUITE A, PUYALLUP, WA 98373-4298
(253) 537-0293
(253) 537-7650
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10003013
WA
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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