Individual
OLIVIA RAYE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 POND VIEW DR STE 2, NORTH LIBERTY, IA 52317-2507
(319) 459-1975
(319) 335-7451
Mailing address
550 POND VIEW DR STE 2, NORTH LIBERTY, IA 52317-2507
(319) 459-1975
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
09870
IA
Other
Enumeration date
02/12/2019
Last updated
02/15/2024
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