Individual
MRS. TARA DEMKOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN--SANEA
Contact information
Practice address
1465 HOOPES AVE, IDAHO FALLS, ID 83404-5772
(208) 522-5545
(208) 528-6773
Mailing address
1465 HOOPES AVE, IDAHO FALLS, ID 83404-5772
(208) 522-5545
(208) 528-6773
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
N-32598
ID
Other
Enumeration date
08/23/2010
Last updated
08/23/2010
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