Individual
ASHLEY BEA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
1866 SANDBAR CIR, WACONIA, MN 55387
(612) 867-4726
Mailing address
1866 SANDBAR CIR, WACONIA, MN 55387-1072
(612) 867-4726
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L68141
MN
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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