Individual
JULIA VIOLET JOHANNESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
825 WEST 6TH ST., LEADVILLE, CO 80461-0626
(719) 486-2413
Mailing address
825 WEST 6TH ST., LEADVILLE, CO 80461-0626
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.1659564
CO
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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