Daesha White

NPI #1982239539 in Boise, Idaho

Provider Information

NPI Number
1982239539
Entity Type
Individual
Name
Daesha White
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Mar 4, 2020
Last Updated
Mar 4, 2020

Practice Location

Address
555 S CURTIS RD APT 202
City
Boise
State
Idaho
ZIP Code
83705-6420
Phone
(208) 801-9128

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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