Jaclyn Johnson

NPI #1700300373 in Surprise, Arizona

Provider Information

NPI Number: 1700300373
Entity Type: Individual
Name: Jaclyn Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Enumeration Date: Jul 26, 2017
Last Updated: Nov 14, 2018

Practice Location

Address: 14239 W BELL RD STE 216
City: Surprise
State: Arizona
ZIP Code: 85374-2482
Phone: (602) 955-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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