Individual
KIMBERLY DEMAROIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
517 MAPLE ST, ANACONDA, MT 59711-2837
(406) 560-2365
Mailing address
517 MAPLE ST, ANACONDA, MT 59711-2837
(406) 560-2365
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
8988
MT
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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