Individual
JOANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
769 KEYSTONE INDUSTRIAL PARK, DUNMORE, PA 18512-1530
(570) 341-7777
(570) 341-7789
Mailing address
769 KEYSTONE INDUSTRIAL PARK, DUNMORE, PA 18512-1530
(570) 341-7777
(570) 341-7789
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA051764
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
NONE
PA
Enumeration date
07/16/2009
Last updated
07/16/2009
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