Samantha Ann Fisher, RD, LD

NPI #1699370064 in Ponderay, Idaho

Provider Information

NPI Number
1699370064
Entity Type
Individual
Name
Samantha Ann Fisher, RD, LD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dietitian, Registered
Credential
RD, LD
Enumeration Date
Dec 2, 2020
Last Updated
Nov 16, 2021

Practice Location

Address
30544 HIGHWAY 200 STE 103
State
Idaho
ZIP Code
83852-5005
Phone
(208) 946-5110

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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