Individual
MISS AKILAH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
11120 W VAN BUREN ST APT 2033, AVONDALE, AZ 85323-7291
(602) 873-4075
Mailing address
11120 W VAN BUREN ST APT 2033, AVONDALE, AZ 85323-7291
(602) 873-4075
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
MT-28848
AZ
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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