SearchIdaho106S00000X

Eliza Detemple

NPI 1699540393 · on the registry since 2023 · sole proprietor

Practice

Address
859 S Yellowstone Hwy Ste 202
Rexburg, ID 83440
Phone
(307) 257-5487
Organisation at this address
Night Boat Pllc
Core Connection
Hgns Investments
Idaho Counseling
Douglas R. Schultz
Inferred from a shared address, not stated in the registry.
Clinicians at this address
41

Registry record

Primary taxonomy
106S00000X
106S00000X
Sex
Female
Record last updated
2023-11-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho