Terri J Johnston

NPI #1225105521 in Rockford, Illinois

Provider Information

NPI Number
1225105521
Entity Type
Individual
Name
Terri J Johnston
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Enumeration Date
Nov 29, 2006
Last Updated
Aug 15, 2008

Practice Location

Address
2591 N MULFORD RD
ZIP Code
61114-5643
Phone
(815) 639-9251

Specialties & Taxonomy Codes

Specialty
Specialist

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