Individual
MRS. DONNA RAE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
15550 N PARKVIEW PL, SURPRISE, AZ 85374-7465
(623) 876-7944
(623) 523-8811
Mailing address
8932 N 94TH AVE, PEORIA, AZ 85345-7710
(623) 876-7944
(623) 523-8811
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP009341
AZ
Other
Enumeration date
04/30/2009
Last updated
04/30/2009
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