STACY A FITZGERALD

BOISE, ID
NPI1730247719
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy246ZS0410X Specialist/Technologist, Other, Surgical Technologist
Enumeration Date2006-12-04
Last Update Date2011-07-20
Business Address
-- STACY A FITZGERALD CST
4887 WYMOSA ST
BOISE, ID 83703-4359
Phone number: 208-890-7984
Mailing Address
-- STACY A FITZGERALD CST
190 E BANNOCK ST
BOISE, ID 83712
Phone number: 208-890-7984
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