Individual
AMANDA JANE DEMORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 MARGARET LN, GRASS VALLEY, CA 95945-5211
(530) 648-1102
Mailing address
109 MARGARET LN, GRASS VALLEY, CA 95945-5211
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
164996
CA
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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