Individual
DESIRAE I BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
5402 W OVERLAND RD, BOISE, ID 83705-2640
(208) 614-8090
Mailing address
6452 N AGRARIAN LN APT B, MERIDIAN, ID 83646-1487
(208) 614-8090
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-2367
ID
Other
Enumeration date
10/17/2023
Last updated
11/25/2023
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