Individual
KATHERINE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 CENTER ST W, ROCHESTER, MN 55902-3003
(507) 255-5385
Mailing address
55529 270TH AVE, PINE ISLAND, MN 55963-9263
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2136943
MN
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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