NPI | 1932722451 |
---|---|
Doing Business As | DEMEAN FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | TAMMY DEMEAN Owner/ Provider 208-743-9616 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
Enumeration Date | 2020-05-19 |
Last Update Date | 2023-03-13 |