Individual
MS. DIANE RUTH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
8700 S KYRENE RD, TEMPE, AZ 85284-2108
(480) 783-2000
Mailing address
6924 W HARRISON ST, CHANDLER, AZ 85226-1600
(480) 726-2135
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2384
AZ
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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