Individual
ELISAN LAUTT FITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
351 HARTNELL AVE, REDDING, CA 96002-1845
(530) 247-7910
Mailing address
351 HARTNELL AVE, REDDING, CA 96002-1845
(530) 247-7910
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
569410
CA
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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