Individual
JULIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3207 33RD ST, EAU CLAIRE, WI 54703-2355
(715) 829-8249
Mailing address
3207 33RD ST, EAU CLAIRE, WI 54703-2355
(715) 829-8249
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
WI
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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