Individual
DR. DIANE LYNN JOHHSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
423 3RD ST N, JACKSONVILLE BEACH, FL 32250-7028
(904) 247-3933
Mailing address
423 3RD ST N, JACKSONVILLE BEACH, FL 32250-7028
(904) 247-3933
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00005720
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058-286700
—
FL
Enumeration date
12/04/2006
Last updated
07/08/2007
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