Individual
JUDY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
12230 CLARKSVILLE PIKE STE I, CLARKSVILLE, MD 21029-1477
(443) 712-7212
Mailing address
12230 CLARKSVILLE PIKE STE I, CLARKSVILLE, MD 21029-1477
(443) 712-7212
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U02532
MD
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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