Individual
SUSAN LEANNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4715 S 132ND ST, OMAHA, NE 68137-1899
(402) 741-0131
Mailing address
4715 S 132ND ST, OMAHA, NE 68137-1899
(402) 741-0131
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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