Individual
TANYA M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6231 ZALTANA RD NW, ALBUQUERQUE, NM 87120-5596
(505) 908-4323
Mailing address
6231 ZALTANA RD NW, ALBUQUERQUE, NM 87120-5596
(505) 908-4323
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-86164
—
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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