Individual
CARL EUGENE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1867 AIRPORT WAY, SUITE 215, FAIRBANKS, AK 99701-4062
(907) 456-1434
(907) 456-1481
Mailing address
1867 AIRPORT WAY, SUITE 215, FAIRBANKS, AK 99701-4062
(907) 456-1434
(907) 456-1481
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5464
AK
Other
Enumeration date
09/05/2007
Last updated
11/26/2013
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