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Individual

MISS ALICIA AURTHOLIA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST

Contact information

Practice address
21915 LINDEN BLVD, CAMBRIA HEIGHTS, NY 11411-1618
(917) 301-4649
Mailing address
145 BARBARA ST, ELMONT, NY 11003-3600
(917) 301-4649

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary

Other

Enumeration date
01/18/2022
Last updated
01/18/2022
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