Individual
STEPHANIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAD
Contact information
Practice address
2800 N MAIN ST STE 2, ROSWELL, NM 88201-6500
(575) 622-0375
Mailing address
2800 N MAIN ST STE 2, ROSWELL, NM 88201-6500
(575) 993-1392
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HAD0945
NM
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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