Individual
GUISSELLA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 N ANKENY BLVD, ANKENY, IA 50023-4002
(515) 964-3952
Mailing address
901 N ANKENY BLVD, ANKENY, IA 50023-4002
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24578
IA
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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