DIANE L JOHNSON

BOISE, ID
NPI1225139900
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy364SP0809X Clinical Nurse Specialist Psychiatric/Mental Health, Adult
(Licence: ID  N6877)
Enumeration Date2006-09-26
Last Update Date2007-07-08
Business Address
DIANE L JOHNSON CNS
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1108
Mailing Address
DIANE L JOHNSON CNS
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1108
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