SearchIdaho103K00000X

Corey Johnson

NPI 1679380877 · on the registry since 2024 · sole proprietor

Practice

Address
2004 W Dew Mist Dr
Nampa, ID 83651
Phone
(208) 713-5839

Registry record

Primary taxonomy
103K00000X
103K00000X
Sex
Female
Record last updated
2024-12-23

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