Individual
DAESHA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 S CURTIS RD APT 202, BOISE, ID 83705-6420
(208) 801-9128
Mailing address
555 S CURTIS RD APT 202, BOISE, ID 83705-6420
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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