Individual
ANDREA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 SOUTH NAVAJO DR, PAGE, AZ 86040
(928) 608-4800
Mailing address
500 SOUTH NAVAJO DRIVE, PAGE, AZ 86408
(928) 608-4800
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
10271
AZ
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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