Individual
CARLIE LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6550 E BROADWAY RD, #206, MESA, AZ 85206-1732
(480) 981-3384
(480) 924-8944
Mailing address
9335 E BASELINE RD, #2027, MESA, AZ 85209-1201
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HAD5905
AZ
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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