Individual
MS. NANCY L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2207 W HIDALGO AVE, PHOENIX, AZ 85041-3727
(602) 268-2340
Mailing address
2207 W HIDALGO AVE, PHOENIX, AZ 85041-3727
(602) 268-2340
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/08/2010
Last updated
02/08/2010
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