Individual
CAMILLE MACHEA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2521 E MOUNTAIN VILLAGE DR STE F, WASILLA, AK 99654-7373
(907) 290-3760
(907) 631-0647
Mailing address
480 S TIMBERWOOD CIR, PALMER, AK 99645-8937
(907) 230-8191
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
NURR37059
AK
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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