Individual
DR. CLELAND JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
107 PLAZA GARCIA, B, TAOS, NM 87571-6256
(575) 758-8829
Mailing address
107 PLAZA GARCIA, B, TAOS, NM 87571-6256
(575) 758-8829
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1591
NM
111N00000X
Chiropractor
6874
TX
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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