Nicole April Johnston, DEM

NPI #1295982791 in Canyonville, Oregon

Provider Information

NPI Number
1295982791
Entity Type
Individual
Name
Nicole April Johnston, DEM
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Midwife, Lay
Credential
DEM
Enumeration Date
Aug 26, 2008
Last Updated
Aug 26, 2008

Practice Location

Address
310 LELAND AVE
State
Oregon
ZIP Code
97417-9789
Phone
(541) 530-1821

Specialties & Taxonomy Codes

Specialty
Midwife, Lay

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