Individual
ANGELA NICOLE FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4709 SHADY HILL LN, KETTERING, OH 45429-5541
(937) 838-7130
Mailing address
4709 SHADY HILL LN, KETTERING, OH 45429-5541
(937) 838-7130
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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