Stacy A Fitzgerald CST

NPI 1730247719 - Specialist/Technologist, Other - 246ZS0410X

NPI Details
NPI 1730247719
Gender Female
Enumeration Date 12/04/2006
Last Updated 07/20/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
4887 WYMOSA ST
BOISE ID, 83703-4359, US
Phone (208) 890-7984
Fax
Business Location
190 E BANNOCK ST
BOISE ID, 83712, US
Phone (208) 890-7984
Fax
Toxanomy
Taxonomy Code 246ZS0410X
License State
License Number
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According to our database, Stacy A Fitzgerald CST NPI is 1730247719, taxonomy code is 246ZS0410X Stacy A Fitzgerald CST physically located at 4887 Wymosa St, Boise ID, 83703-4359. NPI Number Stacy A Fitzgerald CST has the Individual type.

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1730247719 NPI number is provided on an as is basis without warranty of any kind. 1730247719 is maintained by the National Plan & Provider Enumeration System. The contents of Stacy A Fitzgerald CST are for informational purposes only.