Individual
CHRISTINA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 ELK ST, RAPID CITY, SD 57701-7351
(605) 343-7262
(605) 343-7293
Mailing address
793 D AND R AVE, BOX ELDER, SD 57719-9480
(605) 670-1622
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
01240241
SD
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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