Individual
VICTORIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
240 MAIN ST, SACO, ME 04072-1509
(207) 729-8474
Mailing address
240 MAIN ST, SACO, ME 04072-1509
(207) 729-8474
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT1011
ME
Other
Enumeration date
06/20/2019
Last updated
08/25/2023
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