Individual
LEE DEMOTICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
1 JARRETT WHITE RD, TAMC, HI 96859-5001
(808) 433-6018
Mailing address
91-1031 KANIUU ST, KAPOLEI, HI 96707-2799
(808) 674-1775
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
721193
TX
163W00000X
Registered Nurse
Primary
RN-59711
HI
163W00000X
Registered Nurse
RN00146246
WA
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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