Individual
MRS. DONNA MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5116 W LA MIRADA DR, LAVEEN, AZ 85339-9601
(602) 237-4525
Mailing address
5116 W LA MIRADA DR, LAVEEN, AZ 85339-9601
(602) 237-4525
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
9366
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
983488
ARIZONA HEALTH CARE COST
AZ
Enumeration date
01/29/2007
Last updated
07/08/2007
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