SearchMissouri376K00000X

Tenisha Fisher

NPI 1245688092 · on the registry since 2016 · sole proprietor

Practice

Address
9105 E 83rd Pl
Raytown, MO 64138
Phone
(816) 379-5134

Registry record

Primary taxonomy
376K00000X
376K00000X
Also registered as
3747A0650X
374U00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-06-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri