THERESA LANE FISHER

JACKSON, MS
NPI1780898577
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: MS  PA011)
Enumeration Date2007-05-10
Last Update Date2012-04-13
Business Address
THERESA LANE FISHER P.A.
4436 NORTH STATE STREET, SUITE AI
JACKSON, MS 39206-3073
Phone number: 769-257-5336
Mailing Address
THERESA LANE FISHER P.A.
4436 NORTH STATE STREET, SUITE AI
JACKSON, MS 39206-3073
Phone number: 769-257-5336
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