Individual
SHANN AUDREY FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DACHM STUDENT
Contact information
Practice address
301 E BETHANY HOME RD STE A100, PHOENIX, AZ 85012-1275
(310) 849-3243
Mailing address
301 E BETHANY HOME RD STE A100, PHOENIX, AZ 85012-1275
(310) 849-3243
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AZ
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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