Individual
MRS. JOAN MICHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13000 WARWICK BLVD, NEWPORT NEWS, VA 23602-8340
(757) 269-0136
(757) 269-0183
Mailing address
45 CASTLE HAVEN RD, HAMPTON, VA 23666-6032
(757) 329-6773
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202011969
VA
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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