Individual
CHEYENNE FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCMA
Contact information
Practice address
6101 CHAPEL HILL BLVD, PLANO, TX 75093-8446
(817) 538-0432
Mailing address
6101 CHAPEL HILL BLVD, PLANO, TX 75093-8446
(817) 538-0432
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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