Individual
EMMA FISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3450 HULL RD, GAINESVILLE, FL 32607-4144
(352) 273-7001
Mailing address
3406 N MOUNTAIN VIEW DR, SAN DIEGO, CA 92116-1947
(619) 730-8287
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2017
Last updated
05/13/2019
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