MRS. DESERAE LEI JOHNSON, LMT
Medical Practice at Boise St, Mora, ID

License number
Idaho MAS-1035
Category
Medical Practice
Type
Specialist
Address
Address
1654 W Boise St, Mora, ID 83634
Phone
(208) 409-0422
National Provider ID: 1033537170
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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