Individual
YOHANNA L T B BROKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2634 N GOVERNMENT WAY, COEUR D ALENE, ID 83815-3750
(208) 664-1000
Mailing address
2634 N GOVERNMENT WAY, COEUR D ALENE, ID 83815-3750
(208) 664-1000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2961661
ID
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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