Individual
MS. MABEL YATTA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
81 BRIDGE ST # 215, LOWELL, MA 01852-1270
(978) 459-2306
(978) 453-9394
Mailing address
24 OAK AVE, TYNGSBORO, MA 01879-1779
(978) 995-2533
(888) 340-6599
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
265003
MA
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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