Individual
MRS. STACY CAROL FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
6 WEST OWYHEE AVENUE, HOMEDALE, ID 83628
(208) 695-7228
Mailing address
PO BOX 864, HOMEDALE, ID 83628-0864
(208) 695-7228
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
Primary
—
—
Other
Enumeration date
12/19/2007
Last updated
12/19/2007
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