Individual
DERON FISHER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3435 W CRAIG RD STE C, NORTH LAS VEGAS, NV 89032-5116
(702) 538-8814
Mailing address
4650 RANCH HOUSE RD UNIT 123, NORTH LAS VEGAS, NV 89031-4604
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
7599PCS-1
NV
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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