Individual
JUANITA JOVAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8855 W ARBY AVE, #3054, LAS VEGAS, NV 89148-2201
(702) 292-3983
Mailing address
8855 W ARBY AVE, #3054, LAS VEGAS, NV 89148-2201
(702) 292-3983
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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