Individual
DEBE ANNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
2065 HWY 95, STE 51, BULLHEAD CITY, AZ 86442
(928) 763-4737
Mailing address
2860 ESMERELDA DR., BULLHEAD CITY, AZ 86429-1124
(928) 404-4054
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT - 06853
AZ
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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