Individual
MRS. MARIJKE DEKKER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
480 GALLETTI WAY BLDG .8B, SPARKS, NV 89431
(775) 324-1490
(775) 324-1541
Mailing address
480 GALLETTI WAY BLDG.8B, SPARKS, NV 89431
(775) 324-1490
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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