Individual
KAITLYN ROSE FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
375 PULTENEY ST, CORNING, NY 14830-2124
(607) 937-5374
Mailing address
375 PULTENEY ST, CORNING, NY 14830-2124
(607) 937-5374
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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