Individual
CYNTHIA SUE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9801 W 12TH ST N, WICHITA, KS 67212-4202
(316) 214-2829
Mailing address
9801 W 12TH ST N, WICHITA, KS 67212-4202
(316) 214-2829
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-96211-082
KS
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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