Individual
STEPHANIE JOHNSON OD, P.C.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4448 S EASTERN AVE, LAS VEGAS, NV 89119-7825
(702) 893-3937
Mailing address
4448 S EASTERN AVE, LAS VEGAS, NV 89119-7825
(702) 893-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
728
NV
Other
Enumeration date
07/25/2012
Last updated
08/24/2012
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