Individual
MALLORE RYANE FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOME HEALTH AIDE
Contact information
Practice address
3214 MORNING BROOK ST, SAN ANTONIO, TX 78247-3324
(210) 769-5292
Mailing address
3214 MORNING BROOK ST, SAN ANTONIO, TX 78247-3324
(121) 076-9529
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
20233766P
TX
Other
Enumeration date
11/13/2023
Last updated
11/23/2023
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