Individual
DR. ANDREA JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOM
Contact information
Practice address
2610 TRINITY DR, SUITE 14, LOS ALAMOS, NM 87544
(505) 663-1339
(505) 662-7371
Mailing address
2610 TRINITY DR, SUITE 14, LOS ALAMOS, NM 87544
(505) 663-1339
(505) 662-7371
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
534
NM
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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