Individual
MRS. LAURY KAY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
44150 W MARICOPA CASA GRANDE HWY, MARICOPA, AZ 85138-5900
(520) 568-5100
Mailing address
2610 W 21ST ST, YUMA, AZ 85364-6008
(928) 343-2178
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN065384
AZ
Other
Enumeration date
10/22/2007
Last updated
08/20/2010
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