Johnson, Deserae Lei

Johnson, Deserae Lei is an sole proprietor health care provider with primary practice located at 1654 W Boise St , Kuna ID 83634-3137. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Johnson, Deserae Lei can be contacted via phone (208) 409-0422.

Contact Information

Primary practice address
1654 W Boise St Kuna ID 83634-3137
Phone: (208) 409-0422
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MAS-1035 Idaho

Profile Details

NPI number 1033537170
LBN Legal business name Johnson, Deserae Lei
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2014
Last updated Apr 5th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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