Individual
EVELYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 E 10TH ST, TUCSON, AZ 85719-5813
(520) 319-5766
Mailing address
5562 E KELSO ST, TUCSON, AZ 85712-2214
(609) 558-2636
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
227916
AZ
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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