MRS. Johnnie Faye Johnson, MEDICAL ASSISTANT

NPI #1063585958 in Collinsville, Illinois

Provider Information

NPI Number: 1063585958
Entity Type: Individual
Name: MRS. Johnnie Faye Johnson, MEDICAL ASSISTANT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Credential: MEDICAL ASSISTANT
Enumeration Date: Nov 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2007 MAPLELEAF DR
City: Collinsville
State: Illinois
ZIP Code: 62234-5224
Phone: (618) 344-3276

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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