MISS Carol Theresa Johnson, RADT
NPI #1699520619 in La Quinta, California
Provider Information
- NPI Number
- 1699520619
- Entity Type
- Individual
- Name
- MISS Carol Theresa Johnson, RADT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician, Other
- Credential
- RADT
- Enumeration Date
- Apr 22, 2024
- Last Updated
- Apr 22, 2024
Practice Location
- Address
- 79100 OCOTILLO DR
- City
- La Quinta
- State
- California
- ZIP Code
- 92253-5915
- Phone
- (760) 834-8418
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Other |
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