Individual
MS. CLARETA M. FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
11319 FAIRPORT AVE, CLEVELAND, OH 44108-3105
(216) 956-1080
Mailing address
PO BOX 91741, CLEVELAND, OH 44101-3741
(216) 956-1080
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN461355
OH
164W00000X
Licensed Practical Nurse
PN139103-M-IV
OH
Other
Enumeration date
01/09/2013
Last updated
03/25/2019
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