Individual
INANN JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
LUPTON CHAPTER HOUSE, INDIAN RT 12, LUPTON, AZ 86508-1125
(928) 206-0518
Mailing address
PO BOX 125, LUPTON, AZ 86508-1125
(928) 206-0518
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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