Individual
AMANDA CARR-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1806 E FIR AVE STE 200, FERGUS FALLS, MN 56537-3921
(218) 998-2992
Mailing address
1547 30TH AVE S, MOORHEAD, MN 56560-5149
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/27/2022
Last updated
03/27/2022
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