Individual
EMMA FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1315 HIGHWAY 2 STE C, SANDPOINT, ID 83864-2724
(208) 265-2923
(208) 267-6010
Mailing address
PO BOX 991, BONNERS FERRY, ID 83805-0991
(208) 267-6010
(208) 267-6010
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MAS-404
ID
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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