Individual
MRS. ELIZABETH JULIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3111 NORTHRIDGE DR, GRAND JUNCTION, CO 81506-1921
(970) 243-4614
Mailing address
3111 NORTHRIDGE DR, GRAND JUNCTION, CO 81506-1921
(970) 243-4614
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58055258
—
CO
Enumeration date
04/24/2007
Last updated
07/08/2007
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