Individual
DONNA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
710 AMBLE ST, COLFAX, WI 54730-9508
(715) 308-7199
Mailing address
710 AMBLE ST, COLFAX, WI 54730-9508
(715) 308-7199
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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