Individual provider · NPI-1

Charliesa Fisher

Home Health Aide · Albany, GA

NPI number1831719665
StatusActive
Last updated in NPPESApr 22, 2020

Details

NPI
1831719665
Entity type
Individual (NPI-1)
Name
Mrs. Charliesa Fisher
Sex
Female
Sole proprietor
No
Enumeration date
Apr 22, 2020
Certification date
Apr 22, 2020
Last updated
Apr 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide20041711GAYes

Practice location

2007 Schley Ave Apt B
Albany, GA 31707-2006

Phone 443-691-1168

Mailing address

2007 Schley Ave Apt B
Albany, GA 31707-2006

Phone 443-691-1168

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