Individual
WESLEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3945 HOYT CT, WHEAT RIDGE, CO 80033-4223
(720) 226-3099
Mailing address
3945 HOYT CT, WHEAT RIDGE, CO 80033-4223
(720) 226-3099
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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