MISS Rylea Anne Johnson

NPI #1588203897 in Norman, Oklahoma

Provider Information

NPI Number: 1588203897
Entity Type: Individual
Name: MISS Rylea Anne Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jan 3, 2020
Last Updated: Jan 3, 2020

Practice Location

Address: 2240 36TH AVE NW STE 100&110
City: Norman
State: Oklahoma
ZIP Code: 73072-3251
Phone: (501) 574-3053

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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