Individual
CAROL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
43421 K BEACH RD # 4, SOLDOTNA, AK 99669-8259
(907) 252-1410
Mailing address
PO BOX 2517, SOLDOTNA, AK 99669-2517
(907) 252-1410
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
21858
AK
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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