Individual
ALEXIS MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
77-6577 SEA VIEW CIR UNIT 2, KAILUA KONA, HI 96740-7987
(808) 936-9207
Mailing address
77-6577 SEA VIEW CIR UNIT 2, KAILUA KONA, HI 96740-7987
(808) 936-9207
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
7378
HI
Other
Enumeration date
06/20/2014
Last updated
06/20/2014
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