Individual
MELODY SUE FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.
Contact information
Practice address
3770 W. YOUNG STREET, PRESCOTT, AZ 86305
(928) 636-5865
Mailing address
3770 W. YOUNG STREET, PRESCOTT, AZ 86305
(928) 636-5865
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
114
AZ
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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