NPI 1174031884

Claudette Elizabeth Johnson

Practitioner Contractor Maricopa, AZ

Practice location

Address: 21181 N Grantham Rd, Maricopa, AZ 85138-6655
Phone: (719) 464-9552

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 8723402 (AZ)

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Registry record

NPI: 1174031884
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jan 2018
Record last updated: 16 Jan 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.