Individual
LAURA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3123 AMANDA GAYLE CIR, ANCHORAGE, AK 99507-2602
(512) 653-5978
Mailing address
3123 AMANDA GAYLE CIR, ANCHORAGE, AK 99507-2602
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
35283
AK
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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