Individual
MS. LEEANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1306 KANAWHA BLVD E, CHARLESTON, WV 25301-3001
(304) 353-0260
(304) 353-0218
Mailing address
1306 KANAWHA BLVD E, CHARLESTON, WV 25301-3001
(304) 353-0260
(304) 353-0218
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
037092
WV
Other
Enumeration date
08/12/2009
Last updated
08/12/2009
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