Individual
JENNIFER ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO, MSC10 5530, ALBUQUERQUE, NM 87131-0001
(505) 272-2269
Mailing address
PO BOX 9433, BERKELEY, CA 94709-0433
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A127981
CA
Other
Enumeration date
04/09/2009
Last updated
09/02/2015
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