Individual
RAQUEL DIANA DEMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATS
Contact information
Practice address
5810 S TALLOWTREE WAY, BOISE, ID 83716-6963
(208) 794-4759
Mailing address
5810 S TALLOWTREE WAY, BOISE, ID 83716-6963
(208) 794-4759
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
02/06/2025
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