Individual
LESLEY JOHNSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DAC, LAC, MA
Contact information
Practice address
99 E VIRGINIA AVE STE 170, PHOENIX, AZ 85004-1124
(480) 717-7838
Mailing address
99 E VIRGINIA AVE STE 170, PHOENIX, AZ 85004-1124
(480) 717-7838
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0977
AZ
Other
Enumeration date
08/17/2009
Last updated
07/21/2022
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