Individual
MRS. MARY ANNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1433 N ACACIA AVE, REEDLEY, CA 93654-2102
(559) 391-3100
(559) 637-7550
Mailing address
1479 W LACEY BLVD, HANFORD, CA 93230-5906
(559) 583-4617
(559) 583-4625
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA21162
CA
Other
Enumeration date
09/09/2010
Last updated
08/14/2014
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