Individual
MRS. JUDY JOANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICAN
Contact information
Practice address
7362 UNIVERSITY AVE NE, 206, FRIDLEY, MN 55432-3142
(763) 571-5450
(763) 571-1880
Mailing address
7362 UNIVERSITY AVE NE, 206, FRIDLEY, MN 55432-3142
(763) 571-5450
(763) 571-1880
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
156FX1800X
MN
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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