Individual
MR. DANIEL SCOTT FISKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
651 I ST, SACRAMENTO, CA 95814-2400
(916) 874-5222
Mailing address
651 I ST, SACRAMENTO, CA 95814-2400
(916) 874-5222
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
349580
CA
Other
Enumeration date
02/08/2008
Last updated
02/08/2008
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