Individual
MRS. THEA ANGELA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1506 S ONEIDA ST, ST. ELIZABETH HOSPITAL, 4N, APPLETON, WI 54915-1305
(920) 831-1284
Mailing address
1506 S ONEIDA ST, ST. ELIZABETH HOSPITAL, 4N, APPLETON, WI 54915-1305
(920) 831-1284
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
10/29/2008
Last updated
07/29/2009
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