Individual
JANINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5220 W INDIAN SCHOOL RD, PHOENIX, AZ 85031
(623) 691-4088
Mailing address
1675 S 172ND DR, GOODYEAR, AZ 85338-1771
(623) 418-4051
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
253671
AZ
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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