KASSANDRA JOHNSON

MOSCOW, ID
NPI1417518408
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID  AT-649)
Enumeration Date2019-06-21
Last Update Date2019-06-21
Business Address
KASSANDRA JOHNSON
875 PERIMETER DR
MOSCOW, ID 83844-9803
Phone number: 208-885-6111
Mailing Address
KASSANDRA JOHNSON
875 PERIMETER DR
MOSCOW, ID 83844-9803
Phone number:
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