Individual
DIANNA FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1222 WELL ST, FAIRBANKS, AK 99701-2881
(907) 458-7423
Mailing address
1222 WELL ST, FAIRBANKS, AK 99701-2881
(907) 458-7423
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
214557
AK
Other
Enumeration date
10/09/2023
Last updated
10/10/2023
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