Individual
DEMEATRICE NICOLE FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3330 FANNIN ST, BEAUMONT, TX 77701-3801
(409) 832-3301
Mailing address
3828 ANDERSON VILLA, ORANGE, TX 77630-4419
(409) 779-9563
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
311669
TX
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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