Individual
DR. TINEKA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
133 WEST ST, SUITE 11C, SEYMOUR, CT 06483-2644
(203) 804-8729
(203) 702-5110
Mailing address
133 WEST ST, SUITE 11C, SEYMOUR, CT 06483-2644
(203) 804-8729
(203) 702-5110
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
539
CT
175F00000X
Naturopath
Primary
539
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
269094
APIC
CA
Enumeration date
05/05/2015
Last updated
12/29/2015
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