Individual
JULIE MOORE-FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1132 BURRELL AVE, LEWISTON, ID 83501-7101
(208) 743-0231
(208) 746-7462
Mailing address
1132 BURRELL AVE, LEWISTON, ID 83501-7101
(208) 743-0231
(208) 746-7462
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1051
ID
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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