Individual
DR. KANDACE FAYE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
7924 VICTORIA DRIVE, SUITE 202, VICTORIA, MN 55386-0156
(952) 448-9000
(952) 448-4901
Mailing address
7924 VICTORIA DRIVE, SUITE 202, VICTORIA, MN 55386
(952) 448-9000
(952) 448-4901
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4834
MN
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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