HEIDI ANN FIELDSTED

NAMPA, ID
NPI1073606372
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: ID  PT-1960)
Enumeration Date2006-10-02
Last Update Date2007-07-08
Business Address
Ms. HEIDI ANN FIELDSTED PT
337 W IOWA AVE
NAMPA, ID 83686
Phone number: 208-467-7889
Mailing Address
Ms. HEIDI ANN FIELDSTED PT
337 W IOWA AVE
NAMPA, ID 83686
Phone number: 208-467-7889
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