Individual
AMANDA LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
6085 E GRANT RD, TUCSON, AZ 85712-2319
(520) 318-5560
Mailing address
1290 E EDISON ST, GUESTHOUSE, TUCSON, AZ 85719-3602
(520) 276-5801
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0985
AZ
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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