Individual
WENDY FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 SPRUCE ST, ESPANOLA, NM 87532-2724
(505) 367-0365
(505) 367-0362
Mailing address
1010 SPRUCE ST, ESPANOLA, NM 87532-2724
(505) 367-0365
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-0910
NM
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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