Individual
KAITLYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
463 S ALMA SCHOOL RD, MESA, AZ 85210-1014
(480) 472-9212
Mailing address
463 S ALMA SCHOOL RD, MESA, AZ 85210-1014
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
292745
AZ
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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