Individual
DR. STEPHANIE ROSE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
5105-A BACKLICK ROAD, ANNANDALE, VA 22003
(703) 642-8685
Mailing address
401 HOLLAND LANE, APT 422, ALEXANDRIA, VA 22314
(510) 410-6032
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557067
VA
Other
Enumeration date
02/28/2013
Last updated
10/22/2014
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