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Individual

MS. GINGER TAHJA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N/A

Contact information

Practice address
3620 N RANCHO DR, 3620 N. RANCHO STE.103, LAS VEGAS, NV 89130-3155
(702) 656-5683
(702) 656-5685
Mailing address
6623 WEEPING PINE ST, LAS VEGAS, NV 89149-0511
(702) 606-9417

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
04/08/2013
Last updated
04/08/2013
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