Individual
JOHNNIE R CLEMANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7805 USTICK RD, BOISE, ID 83704-5849
(208) 375-7851
(208) 375-1905
Mailing address
7805 USTICK RD, BOISE, ID 83704-5849
(208) 375-7851
(208) 375-1905
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA0610
ID
Other
Enumeration date
02/13/2008
Last updated
02/13/2008
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