Marjorie Marie Johnston
NPI #1033891981 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1033891981
- Entity Type
- Individual
- Name
- Marjorie Marie Johnston
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Aug 1, 2023
- Last Updated
- Aug 1, 2023
Practice Location
- Address
- 486 11TH ST
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-4851
- Phone
- (208) 206-1483
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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