Individual
JUSTIN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3708 AMHERST ST, NORFOLK, VA 23513-4037
(360) 842-4191
Mailing address
3708 AMHERST ST, NORFOLK, VA 23513-4037
(360) 842-4191
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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