Individual
RAETTA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5555 E ARAPAHOE RD, LITTLETON, CO 80122-2312
(303) 743-5855
Mailing address
5555 E ARAPAHOE RD, LITTLETON, CO 80122-2312
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
109986
CO
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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