Individual
MS. MARSHA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7461 MALLARD CT APT A, INDIANAPOLIS, IN 46260-5221
(317) 726-0615
Mailing address
7461 MALLARD CT APT A, INDIANAPOLIS, IN 46260-5221
(317) 726-0615
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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