Individual
LAURA FEHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
3916 W RUSHOLME ST, DAVENPORT, IA 52804-1012
(701) 290-0014
Mailing address
3916 W RUSHOLME ST, DAVENPORT, IA 52804-1012
(701) 290-0014
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/15/2013
Last updated
04/15/2013
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