Individual
VICTORIA KATHLEEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
(267) 426-5095
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
Taxonomy
Speciality
Code
Description
License number
State
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary
OS018183
PA
Other
Enumeration date
06/04/2012
Last updated
09/12/2016
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