Individual
VICTORIA LYNN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3831 E 19TH ST, CASPER, WY 82609-3634
(307) 577-5255
(307) 577-5255
Mailing address
3831 E 19TH ST, CASPER, WY 82609-3634
(307) 577-5255
(307) 577-5255
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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