# SUMMER JOHNSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1639211048
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2278P3900X | Neonatal/Pediatric Certified Respiratory Therapist | 2910 | MN | Yes |
| 2278P3900X | Neonatal/Pediatric Certified Respiratory Therapist | 3153 | WI | — |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 07/08/2007