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Individual

MS. JEAN ELLA FISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
30500 ARRESTRE CANYON RD, PO BOX 25, ACTON, CA 93510
(661) 223-8710
(223) 269-9156
Mailing address
30500 ARRASTRE CANYON RD, ACTON, CA 93510-2160
(661) 223-8710
(223) 269-9156

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
429444
CA

Other

Enumeration date
07/14/2017
Last updated
07/21/2022
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