Individual
DOROTHY MOTEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2303 E OMEGA DR, SAN TAN VALLEY, AZ 85143-4622
(480) 238-0314
Mailing address
2303 E OMEGA DR, SAN TAN VALLEY, AZ 85143-4622
(480) 238-0314
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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