Individual
EMILY ANNE DESMEULES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
348 MAKI LN, MCCALL, ID 83638-5073
(802) 291-3718
Mailing address
348 MAKI LN, MCCALL, ID 83638-5073
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2909
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2022
Last updated
11/05/2024
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