Valerie Johnson

NPI #1982070108 in Boise, Idaho

Provider Information

NPI Number: 1982070108
Entity Type: Individual
Name: Valerie Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Aug 12, 2015
Last Updated: Aug 12, 2015

Practice Location

Address: 500 W FORT ST
City: Boise
State: Idaho
ZIP Code: 83702-4501
Phone: (208) 422-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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