Individual
MARY ANN NAU JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1264 HAWKS FLIGHT CT, SUITE 100, EL DORADO HILLS, CA 95762-9348
(916) 939-8400
(916) 933-5013
Mailing address
3400 DATA DR, PHYSICIAN SUPPORT SERVICES, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A113258
CA
207NS0135X
Procedural Dermatology Physician
A113258
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2010
Last updated
07/14/2015
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