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Individual

MRS. CREAH I FISHLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6904 WILKOW DR APT U202, ORLANDO, FL 32821-6093
(407) 982-6331
Mailing address
6904 WILKOW DR APT U202, ORLANDO, FL 32821-6093
(407) 982-6331

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
FL
374U00000X
Home Health Aide

Other

Enumeration date
11/05/2019
Last updated
11/05/2019
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