Individual
SHERA MICHELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
48 COUNTY ROAD 250 # 8, DURANGO, CO 81301-8848
(970) 749-5323
Mailing address
PO BOX 1332, DURANGO, CO 81302-1332
(970) 749-5323
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0014418
CO
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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