Individual
MRS. RONDA LEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
23580 220TH ST, DAVENPORT, IA 52807-9428
(817) 975-1949
(817) 887-2899
Mailing address
23580 220TH ST, DAVENPORT, IA 52807-9428
(817) 975-1949
(817) 887-2899
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A058311
IA
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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