Individual
SCARLETT RAE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4603 32ND ST, COLUMBUS, NE 68601-2028
(402) 984-2762
Mailing address
4603 32ND ST, COLUMBUS, NE 68601-2028
(402) 984-2762
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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