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Individual

MRS. RACHAEL LOTTIE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP-F

Contact information

Practice address
1150 PROFESSIONAL CT, SUITE P, HAGERSTOWN, MD 21740-4100
(301) 665-9696
(240) 420-5715
Mailing address
11350 MCCORMICK RD, EXECUTIVE PLAZA 1, SUITE 501, HUNT VALLEY, MD 21031-1002
(301) 665-9696
(240) 420-5715

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R224985
MD

Other

Enumeration date
01/03/2011
Last updated
02/21/2017
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