Individual
MARY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10065 E HARVARD AVE, SUITE 400, DENVER, CO 80231-5968
(303) 614-1400
Mailing address
9077 S YOSEMITE ST, UNIT 1411, LONE TREE, CO 80124-2988
(301) 653-6424
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.0202795
CO
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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