Individual
STEPHANIE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 MCHENRY VILLAGE WAY STE 16, MODESTO, CA 95350-4341
(209) 527-3270
Mailing address
1600 N CARPENTER RD STE B, MODESTO, CA 95351-1185
(209) 523-4573
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
08/07/2025
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