Individual
VICTORIA JOHANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
732 N MAIN ST, CEDAR CITY, UT 84721-5129
(435) 233-2240
Mailing address
732 N MAIN ST, CEDAR CITY, UT 84721-5129
(435) 233-2240
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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