Individual
MORIAH GRACE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 545-5000
Mailing address
20 BREEZY HILL RD, SOUTH WINDSOR, CT 06074-2811
(860) 597-8515
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4119
CT
Other
Enumeration date
06/23/2018
Last updated
09/13/2022
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