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Individual

DR. BARBRA RAYE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
5268 NICHOLSON LN STE D, KENSINGTON, MD 20895-1010
(301) 881-6232
(301) 881-6234
Mailing address
11611 GLEN RD., POTOMAC, MD 20854
(301) 983-9697
(301) 983-9697

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TAO824
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
415747500
MD
Enumeration date
02/13/2007
Last updated
12/16/2008
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