Individual
AIMEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 COWLES ST STE 1, FAIRBANKS, AK 99701-5908
(907) 452-4768
Mailing address
1780 DULCIMER DR, FAIRBANKS, AK 99709-5648
(907) 347-7184
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
149511
AK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/28/2018
Last updated
11/27/2019
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