LITA ELAINE JOHNSON CSFA
Individual Provider (NPI-1)
Active
Specialist/Technologist, Other, Surgical Assistant
Provider Information
- NPI Number
1962370486- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CSFA
- Status
- Active
Contact & Location
- Address
- 2845 SW HEATON LN, MOUNTAIN HOME, ID, 836476409
- Phone
- (208) 803-8246
Specialties & Taxonomies
Specialist/Technologist, Other, Surgical Assistant
Primary License: ID #100102656