Individual
MADISON MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5025 W GARY GATELY ST, LINCOLN, NE 68528-1731
(402) 326-6920
Mailing address
5025 W GARY GATELY ST, LINCOLN, NE 68528-1731
(402) 326-6920
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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