Individual
MS. MADELYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5208 S. 20TH PL, PHOENIX, AZ 85040-3315
(602) 486-4906
Mailing address
1522 E. SOUTHERN AVE, PHOENIX, AZ 85040-3543
(602) 243-1773
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
AZ
Other
Enumeration date
04/13/2007
Last updated
07/26/2007
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