Bonnie Jean Johnson

NPI #1902173628 in Emmonak, Alaska

Provider Information

NPI Number: 1902173628
Entity Type: Individual
Name: Bonnie Jean Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Enumeration Date: Nov 23, 2011
Last Updated: Dec 12, 2012

Practice Location

Address: 246 KWIGUK ST.
City: Emmonak
State: Alaska
ZIP Code: 99581-0246
Phone: (907) 949-3536

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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