SearchIdaho225700000X

Melinda Demember

NPI 1952791048 · on the registry since 2015 · sole proprietor

Practice

Address
11152 W State St
Suite 103
Star, ID 83669
Phone
(208) 703-5088

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-01-28

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