Individual
PAMELA FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
509 HICKORY LAKE DR, BRANDON, FL 33511-6337
(813) 304-5794
Mailing address
509 HICKORY LAKE DR, BRANDON, FL 33511-6337
(813) 304-5794
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
623738
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
623738
ATN
—
Enumeration date
01/18/2017
Last updated
01/18/2017
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