Ahashta Johnson

NPI #1699988477 in Phila, Pennsylvania

Provider Information

NPI Number
1699988477
Entity Type
Organization
Organization Name
Ahashta Johnson
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
May 8, 2007
Last Updated
Apr 10, 2009

Practice Location

Address
5501 OLD YORK RD
City
Phila
ZIP Code
19141-3018
Phone
(215) 456-7890

Authorized Official

Name
A. SUSAN BERNINI
Title
COO
Phone
(215) 456-7890

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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