Individual
VICTORIA L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFH
Contact information
Practice address
18168 SPICEBUSH AVE, NAMPA, ID 83687-5003
(208) 467-1943
Mailing address
18168 SPICEBUSH AVE, NAMPA, ID 83687-5003
(208) 467-1943
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
30573
ID
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
About Stedi
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