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NPI Code Detail

MEDICARE: NANCY DEMARS

MEDICARE:   NANCY  DEMARS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12471S1302XSonography Radiologic Technologist09006CA

General Provider Information

NPI Number : 1396835773
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY DEMARS
Provider Business Mailing Address
First Line : 179 DALMA DR APT 3
Second Line :
City : MOUNTAIN VIEW
State : CA
Zip : 94041-2370
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 179 DALMA DR APT 3
Second Line :
City : MOUNTAIN VIEW
State : CA
Zip : 94041-2370
Country : US
Telephone Number : 650-988-9691
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2006
Last Update Date : 07/08/2007

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Directions to “ NANCY DEMARS ” Practice Location

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