Individual
MRS. KATHRYN JOHANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
720 S FRONT ST, PHILADELPHIA, PA 19147-3518
(405) 206-1788
Mailing address
720 S FRONT ST, PHILADELPHIA, PA 19147-3518
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN620239
PA
Other
Enumeration date
10/19/2011
Last updated
05/12/2015
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