KENNETH JOHNSON

NAMPA, ID
NPI1134096662
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2025-10-20
Last Update Date2025-10-24
Business Address
KENNETH JOHNSON
204 10TH AVE S
NAMPA, ID 83651-3832
Phone number: 208-466-2229
Mailing Address
KENNETH JOHNSON
204 10TH AVE S
NAMPA, ID 83651-3832
Phone number: 208-466-2229
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