Individual
SAN JUAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.C.P
Contact information
Practice address
6104 OLD BRANCH AVE, TEMPLE HILLS, MD 20748-2518
(301) 702-6335
Mailing address
2101 E JEFFERSON ST, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
L0005165
MD
Other
Enumeration date
01/03/2011
Last updated
01/03/2011
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