Individual
S. RENEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
356 S MAIN ST, BLANDING, UT 84511-3830
(435) 678-2992
(435) 678-3116
Mailing address
356 S MAIN ST, BLANDING, UT 84511-3830
(435) 678-2992
(435) 678-3116
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
376760-3102
UT
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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