Individual
HANNAH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
716 STEVENS AVE, PORTLAND, ME 04103-2656
(017) 120-7283
Mailing address
48 JUNIPER LEDGE, YARMOUTH, ME 04096-1436
(603) 554-4429
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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