Individual
MRS. KATRINA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39928 BRENMARK RD, HOMER, AK 99603
(907) 299-9087
Mailing address
39928 BRENMARK RD, HOMER, AK 99603-9527
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/08/2017
Last updated
09/08/2017
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