Individual
MELISSA S JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 OLSEN ST, ELKHORN, WI 53121-1233
(262) 424-1453
Mailing address
117 OLSEN ST, ELKHORN, WI 53121-1233
(262) 424-1453
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
175186-30
WI
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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