Individual
CAROL ANN HOMIAK JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.C.
Contact information
Practice address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(520) 792-1450
Mailing address
4173 E CALLE MARFIL, TUCSON, AZ 85712-6408
(520) 797-7102
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN045272
AZ
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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