Individual
MRS. MELINDA LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHA/P
Contact information
Practice address
3380 C ST, SUITE 100, ANCHORAGE, AK 99503-3949
(907) 277-1440
(907) 277-1446
Mailing address
40 MAIN STREET, NELSON LAGOON, AK 99571
(907) 989-2202
(907) 989-2245
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/09/2007
Last updated
11/19/2011
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