DARYL OLAF JOHNSON

HAYDEN, ID
NPI1447943998
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: ID  MAS-3250)
Enumeration Date2023-05-31
Last Update Date2023-05-31
Business Address
Mr. DARYL OLAF JOHNSON LMT
827 W PRAIRIE AVE
HAYDEN, ID 83835-8459
Phone number: 208-660-9378
Mailing Address
Mr. DARYL OLAF JOHNSON LMT
827 W PRAIRIE AVE
HAYDEN, ID 83835-8459
Phone number: 208-660-9378
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