Devorlette Fisher
Community Health Worker in Fairview Heights, IL. Individual provider (NPI-1).
NPI number1982174850
StatusActive
Last updated in NPPESDec 4, 2018
Details
- NPI
- 1982174850
- Entity type
- Individual (NPI-1)
- Name
- Devorlette Fisher
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 4, 2018
- Last updated
- Dec 4, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
8 Executive Dr Ste 200Fairview Heights, IL 62208-1350
Phone 618-688-4749
Mailing address
8 Executive Dr Ste 200Fairview Heights, IL 62208-1350
Phone 618-688-4749
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