Individual
DR. NICOLE K JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5051
(804) 827-0561
Mailing address
PO BOX 980662, RICHMOND, VA 23298-0662
(804) 827-0561
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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