Individual
DR. COLEEN BASTA JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.V.M.
Contact information
Practice address
1340 PALM BAY RD, PALM BAY, FL 32905
(321) 725-9770
(321) 724-9604
Mailing address
281 BRANDY CREEK CIRCLE SE, PALM BAY, FL 32909
(321) 768-6781
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
VM8412
FL
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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