Individual
MS. DELORES MARIE FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
128 E MALLARD DR, BOISE, ID 83706-3975
(208) 323-8660
Mailing address
10421 LANCELOT AVE, BOISE, ID 83704-5248
Taxonomy
Speciality
Code
Description
License number
State
163WX1100X
Ophthalmic Registered Nurse
Primary
N5834
ID
Other
Enumeration date
07/01/2006
Last updated
07/08/2007
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