Individual
REBECCA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8109 HINSON FARM RD STE 504, ALEXANDRIA, VA 22306-3411
(703) 780-2800
(703) 780-0461
Mailing address
6128 BRANDON AVE STE 201, SPRINGFIELD, VA 22150-2693
(703) 780-2800
(703) 780-0461
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
0001157392
VA
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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