Individual
DIANA DEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDO
Contact information
Practice address
3839 N CARSON ST, CARSON CITY, NV 89706-1935
(775) 297-4453
(775) 841-2020
Mailing address
3839 N CARSON ST, CARSON CITY, NV 89706-1935
(775) 297-4453
(775) 841-2020
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
298
NV
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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