NPI 1285221796

Alicia Fish, ATC

Practitioner Prevention Professional Frederick, MD

Practice location

Address: 2428 Dunmore CT, Frederick, MD 21702-2615
Phone: (919) 744-1861

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence A00980 (MD)

Other Prevention Professional providers in Maryland →

Registry record

NPI: 1285221796
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Dec 2020
Record last updated: 30 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.