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Deserae Johnson, LMT
NPI 1033537170 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1654 W Boise St
Kuna, ID 83634 - Phone
- (208) 409-0422
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-04-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho