Individual
RACHEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5331 SPRING ST STE 101, MOUNT PLEASANT, WI 53406-2930
(262) 554-8800
Mailing address
PO BOX 81396, RACINE, WI 53408-1396
(262) 554-8800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
172809
WI
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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