Individual
MS. MARLENA RAE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
S.A.
Contact information
Practice address
2765 PIERCE ST, WHEAT RIDGE, CO 80214-8050
(303) 232-9297
(303) 232-9297
Mailing address
2765 PIERCE ST, WHEAT RIDGE, CO 80214-8050
(303) 232-9297
(303) 232-9297
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
97142
CO
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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