Individual
JEANNE JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
460 S 7TH ST, COOLIDGE, AZ 85128-4603
(520) 723-2706
Mailing address
605 S 12TH ST, COOLIDGE, AZ 85128-9183
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
147473
AZ
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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