Individual
SHARON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DHAT
Contact information
Practice address
6000 KANAKANAK RD, DILLINGHAM, AK 99576-0130
(907) 842-5201
Mailing address
PO BOX 130, DILLINGHAM, AK 99576-0130
(907) 842-5201
(907) 842-9517
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
16-139-DHAT
AK
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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