Individual
MARYANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
10696 B CRESTWOOD DRIVE, DR. GRACE J. STONEROCK, MANASSAS, VA 20109-4411
(703) 368-7110
(703) 369-1842
Mailing address
10254 WALLWOOD DRIVE, MANASSAS, VA 20111-4301
(703) 257-9288
(703) 369-1842
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024085871
VA
Other
Enumeration date
07/16/2006
Last updated
07/08/2007
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