Individual
ZOE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 N 26TH ST, LAFAYETTE, IN 47904-2895
(812) 987-1661
Mailing address
415 N 26TH ST, LAFAYETTE, IN 47904-2895
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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